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Individual

TENELLE CLARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
3269 GREY VILLAGE DR, AKRON, OH 44319-2570
(330) 853-1088
Mailing address
3269 GREY VILLAGE DR, AKRON, OH 44319-2570
(330) 853-1088

Taxonomy

Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
TF527507
OH

Other

Enumeration date
09/29/2019
Last updated
09/29/2019
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