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Individual

MR. CALVIN CLARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
RN, MSN, ACNP-BC

Contact information

Practice address
808 JOLIET AVE UNIT 220, LUBBOCK, TX 79415-1158
(806) 761-0566
(806) 744-7252
Mailing address
5219 CITY BANK PKWY STE 35, LUBBOCK, TX 79407-3545
(806) 761-0333
(806) 785-7685

Taxonomy

Speciality
Code
Description
License number
State
363LA2100X
Acute Care Nurse Practitioner
Primary
743836
TX

Other

Enumeration date
11/13/2010
Last updated
01/31/2019
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