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1063428563
CLARK ALAN BERNIE
COLUMBUS, GA
NPI
1063428563
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
213E00000X Podiatrist
(Licence: GA 000674)
Enumeration Date
2006-08-01
Last Update Date
2008-08-14
Business Address
-- CLARK ALAN BERNIE DPM
1900 10TH AVE STE 120
COLUMBUS, GA 31901-3600
Phone number: 706-323-6914
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Mailing Address
-- CLARK ALAN BERNIE DPM
1900 10TH AVE STE 120
COLUMBUS, GA 31901-3600
Phone number: 706-323-6914
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