Individual
MRS. DEBORAH JEAN CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3 ELMWOOD RD, HANCOCK, NH 03449-5629
(603) 525-3335
(866) 611-5548
Mailing address
51 FRANKLIN ST, MILFORD, NH 03055-3705
(603) 525-3335
(866) 611-5548
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
FDC2111150
NH
Other
Enumeration date
07/19/2013
Last updated
07/19/2013
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