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Dominque Clark

NPI 1093519886 · on the registry since 2025 · sole proprietor

Practice

Address
117 Wickham Farm Dr
Englewood, OH 45322
Phone
(214) 264-0962

Registry record

Primary taxonomy
253Z00000X
253Z00000X
Sex
Female
Record last updated
2025-04-02

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio