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1003511072
ALEC COLE CLARK
JACKSON, MS
NPI
1003511072
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207T00000X Neurological Surgery
(Licence: MS T-5055)
Enumeration Date
2023-03-31
Last Update Date
2023-08-13
Business Address
ALEC COLE CLARK
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-984-1000
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Mailing Address
ALEC COLE CLARK
1833 SAINT MARY ST
JACKSON, MS 39202-1267
Phone number: 813-997-4155
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