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1003864620
JACOB SCOTT CLARK
LAFAYETTE, LA
NPI
1003864620
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: LA 1322)
Enumeration Date
2006-05-05
Last Update Date
2008-05-02
Business Address
Dr. JACOB SCOTT CLARK D.C.
854C KALISTE SALOOM RD
LAFAYETTE, LA 70508-4210
Phone number: 337-232-3353
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Mailing Address
Dr. JACOB SCOTT CLARK D.C.
854C KALISTE SALOOM RD
LAFAYETTE, LA 70508-4210
Phone number: 337-232-3353
Copy
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