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1063852887
LARA M CLARK
COVINA, CA
NPI
1063852887
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA16351)
Enumeration Date
2013-06-25
Last Update Date
2013-06-25
Business Address
MS. LARA M CLARK PA-C
605 E BADILLO ST
COVINA, CA 91723-2846
Phone number: 626-732-9608
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Mailing Address
MS. LARA M CLARK PA-C
605 E BADILLO ST
COVINA, CA 91723-2846
Phone number: 626-732-9608
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