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1013010073
MELANIE W. CLARK
LAKE CITY, FL
NPI
1013010073
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: TN 5444)
Enumeration Date
2006-09-06
Last Update Date
2007-07-08
Business Address
-- MELANIE W. CLARK DPh.
619 S MARION AVE
LAKE CITY, FL 32025-5808
Phone number: 386-755-3016
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Mailing Address
-- MELANIE W. CLARK DPh.
127 SW THURMAN TER
LAKE CITY, FL 32024-4344
Phone number: 386-755-0048
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