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1033960968
IAN CLARK
OWENSBORO, KY
NPI
1033960968
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: KY PA3443)
Enumeration Date
2024-03-28
Last Update Date
2024-12-10
Business Address
IAN CLARK PA
2200 E PARRISH AVE STE 101C
OWENSBORO, KY 42303-1450
Phone number: 270-688-1650
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Mailing Address
IAN CLARK PA
PO BOX 23229
OWENSBORO, KY 42304-3229
Phone number: 270-688-1330
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