NATISHA IRENE CLARK
Nursing at Fort St, Southgate, MI

License number
Michigan 4704278418
Category
Nursing
Type
Registered Nurse
License number
Michigan 4704278418
Category
Nursing
Type
Primary Care
Address
Address
15150 Fort St, Southgate, MI 48195
Phone
(734) 282-4800
(734) 282-5039 (Fax)
National Provider ID: 1871957985
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Personal information

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Name
Address
Phone
Natisha Clark, age 52
2768 Boulder Ridge Trl, Milford, MI 48380
(248) 714-9281
Natisha I Clark, age 52
2768 Boulder Ridge Trl, Milford, MI 48380
(248) 714-9281
Natisha I Clark, age 52
41275 Old Michigan Ave, Canton, MI 48188

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