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1073511598
RON CLARK
SOUTH BEND, IN
NPI
1073511598
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207X00000X Orthopaedic Surgery
(Licence: IN 01051209A)
Enumeration Date
2005-07-08
Last Update Date
2008-06-09
Business Address
DR. RON CLARK M.D.
211 N EDDY ST
SOUTH BEND, IN 46617-2808
Phone number: 574-237-9294
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Mailing Address
DR. RON CLARK M.D.
211 N EDDY ST
SOUTH BEND, IN 46617-2808
Phone number: 574-237-9294
Copy
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