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1053350371
ALLAN B CLARK
PINE ISLAND, MN
NPI
1053350371
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MN 29995)
Enumeration Date
2006-06-05
Last Update Date
2011-09-14
Business Address
Dr. ALLAN B CLARK
111 COUNTY ROAD 11 NW
PINE ISLAND, MN 55963-9756
Phone number: 507-356-4929
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Mailing Address
Dr. ALLAN B CLARK
111 COUNTY ROAD 11 NW
PINE ISLAND, MN 55963-9756
Phone number: 507-356-4929
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