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Ms. Mary Josephine Clark

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NPI Number Detailed Information

Provider Information:

Name: Ms. Mary Josephine Clark
Gender: F
Provider License Number If Given: 6401005964

NPI Information:

NPI: 1063482578
Entity Type
(Individual or Organization):
1-ind
Enumeration Date: 1/25/2006

Last Update Date: 5/2/2017

Provider Business Mailing Address:

Address: 1680 44TH ST SE UNIT 8074
Grand Rapids, MI 49518
Phone Number: 6162629749
Fax Number: 8664167581

Provider Business Practice Location Address:

Address: 4835 EASTERN AVE SE SUITE 102
Kentwood, MI 49508
Phone Number: 6162629749
Fax Number: 8664167581

Provider Taxonomy:

Primary: 101YP2500X
Secondary (if any):
State: MI

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About Ms. Mary Josephine Clark

Ms. Mary Josephine Clark (MS. MARY JOSEPHINE CLARK ) is Definition Counselor Physician in Kentwood, MI. The NPI Number for Ms. Mary Josephine Clark is 1063482578.
The current location address for Ms. Mary Josephine Clark is 4835 EASTERN AVE SE SUITE 102 Kentwood, MI 49508 and the contact number is 6162629749 and fax number is 8664167581. The mailing address for Ms. Mary Josephine Clark is 1680 44TH ST SE UNIT 8074 Grand Rapids, MI 49518- 6162629749 (mailing address contact number - 6162629749).
Definition to come...

Provider Business Location on Map

FAQs:

What is the NPI Number for Ms. Mary Josephine Clark ?


Answer: The NPI Number for Ms. Mary Josephine Clark is 1063482578

Where is Ms. Mary Josephine Clark located?


Answer: Ms. Mary Josephine Clark is located at 4835 EASTERN AVE SE SUITE 102 Kentwood, MI 49508.

What is the specialty for Ms. Mary Josephine Clark ?


Answer: The Specialty of Ms. Mary Josephine Clark is Definition Counselor Physician.

Are there any online reviews for Ms. Mary Josephine Clark ?


Answer: Not yet!

Are there any other health care providers in Kentwood, MI?


Answer: Yes, there are given below...

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Marcus G. Beversluis
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Ms. Mary Josephine Clark in Other Directories

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