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Individual

GRETA FAY CLARKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1601 KIRKWOOD HWY, WILMINGTON, DE 19805-4917
(302) 633-5454
(302) 633-5590
Mailing address
110 LITTONDALE CT, MIDDLETOWN, DE 19709-1381
(302) 374-8233

Taxonomy

Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
LD0000103
DE

Other

Enumeration date
09/22/2006
Last updated
07/08/2007
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