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Individual

MRS. PAMELA KAY CLARK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
FNP-BC

Contact information

Practice address
1311A N MILDRED RD, CORTEZ, CO 81321-2231
(970) 565-8556
(970) 564-1134
Mailing address
1311 N MILDRED RD, CORTEZ, CO 81321-2231
(970) 565-6666

Taxonomy

Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
834434
TX
363LF0000X
Family Nurse Practitioner
NURRNLIC37184
MT

Other

Enumeration date
11/15/2012
Last updated
11/27/2023
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