Charlotte A. Clark
NPI #1316298797 in Mount Sterling, Illinois
Provider Information
- NPI Number
- 1316298797
- Entity Type
- Individual
- Name
- Charlotte A. Clark
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Licensed Practical Nurse
- Enumeration Date
- Sep 26, 2012
- Last Updated
- Sep 26, 2012
Practice Location
- Address
- 700 SE CROSS ST
- City
- Mount Sterling
- State
- Illinois
- ZIP Code
- 62353-1561
- Phone
- (217) 773-3325
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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