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MR. JOHN CLARK RN

General Practice >> Registered Nurse >> Nursing Service Providers

Registrant NPI Number: 1689728032

Individual Registrant:
MR. JOHN  CLARK RN
Gender: M
Not Sole Proprietor

Location and contact information for practice:
52 N TU SU LN  BISHOP, CA 93514-8058 US
Tel: 760-873-8461  Fax: 760-873-3530

Contact information for business:
RR 2 BOX 24R  BISHOP, CA 93514-9610 US
Tel: 760-387-2187  Fax: --

Registration Information:
NPI: 1689728032
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y163WG0000XNursing Service Providers
Registered Nurse
General Practice
CARN629103

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
ORGANIZATION NPI #1659433191CA01




HEALTH CARE JOBS CA - Page 1



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