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1053335349
PATRICIA L CLARK
FORT WAYNE, IN
NPI
1053335349
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208600000X Surgery
(Licence: IN 01094461A)
Additional Taxonomies
208600000X Surgery
(Licence: AZ 51951)
Enumeration Date
2006-07-27
Last Update Date
2024-10-02
Business Address
Dr. PATRICIA L CLARK MD
11050 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845-1739
Phone number: 833-724-8326
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Mailing Address
Dr. PATRICIA L CLARK MD
11109 PARKVIEW PLAZA DR # 117
FORT WAYNE, IN 46845-1701
Phone number:
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