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Individual

ANNA MARIE CLARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
RN

Contact information

Practice address
8402 HARCOURT RD, SUITE 125, INDIANAPOLIS, IN 46260-2074
(317) 802-3281
(317) 802-3972
Mailing address
8402 HARCOURT RD, SUITE 125, INDIANAPOLIS, IN 46260-2074
(317) 802-3281
(317) 802-3972

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
28223105A
IN

Other

Enumeration date
06/25/2015
Last updated
06/25/2015
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