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MS. PAULETTE JEAN CLARK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
CRNA

Contact information

Practice address
2439 260TH ST, ALBION, NE 68620-5584
(402) 395-6897
Mailing address
PO BOX 447, ALBION, NE 68620-0447
(402) 395-6897

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
26343
NE
367500000X
Certified Registered Nurse Anesthetist
Primary
100340
NE

Other

Enumeration date
06/26/2006
Last updated
10/24/2012
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