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Debra Clark
NPI 1952539785 · on the registry since 2009 · sole proprietor
Practice
- Address
- 104 53rd Ave E
Bradenton, FL 34203 - Phone
- (941) 727-3529
- Clinicians at this address
- 7
Registry record
- Primary taxonomy
- 173C00000X
173C00000X
- Licence states on file
- FL
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2009-07-01
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 Florida