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Individual

DR. DEBORAH WILSON CLARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
AU.D.

Contact information

Practice address
496 1ST ST STE 120, LOS ALTOS, CA 94022-3677
(650) 941-0664
(650) 941-2892
Mailing address
496 1ST ST STE 120, LOS ALTOS, CA 94022-3677
(650) 941-0664
(650) 941-2892

Taxonomy

Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
1833
CA
237600000X
Audiologist-Hearing Aid Fitter
AU 1833
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
GR0023741
CA
Enumeration date
02/06/2007
Last updated
08/20/2025
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