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1003979600
JEFFREY PAUL CLARK
ROCHESTER, MN
NPI
1003979600
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TC0700X Psychologist, Clinical
(Licence: MN LP3310)
Enumeration Date
2006-12-18
Last Update Date
2007-07-08
Business Address
-- JEFFREY PAUL CLARK M.A.
1932 VIKING DR NW
ROCHESTER, MN 55901-2460
Phone number: 180-042-2016
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Mailing Address
-- JEFFREY PAUL CLARK M.A.
1926 26TH AVE NW
ROCHESTER, MN 55901-8064
Phone number: 507-261-2777
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