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1013019694
MARK ALAN CLEMENS
LEAVENWORTH, KS
NPI
1013019694
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: KS 6921)
Enumeration Date
2006-09-02
Last Update Date
2007-07-08
Business Address
-- MARK ALAN CLEMENS DDS
502 SHAWNEE ST
LEAVENWORTH, KS 66048-1957
Phone number: 913-651-2115
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Mailing Address
-- MARK ALAN CLEMENS DDS
502 SHAWNEE ST
LEAVENWORTH, KS 66048-1957
Phone number: 913-651-2115
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