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Individual

KAREN MARIE CLARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
N.P.

Contact information

Practice address
1140 SONOMA AVE, 2A, SANTA ROSA, CA 95405-4817
(707) 526-5034
(707) 545-3984
Mailing address
3883 AIRWAY DR, SUITE 300, SANTA ROSA, CA 95403-1670
(707) 473-4531
(707) 473-4559

Taxonomy

Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
16742
CA

Other

Enumeration date
12/12/2007
Last updated
12/12/2007
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