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1073795506
KRISTINE J. CLARK
APPLETON, WI
NPI
1073795506
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
246Z00000X Specialist/Technologist, Other
Enumeration Date
2007-11-27
Last Update Date
2007-11-27
Business Address
Mrs. KRISTINE J. CLARK O.T.C.
VALLEY ORTHOPEDIC CLINIC SC 2105 E ENTERPRISE AVE., STE 111
APPLETON, WI 54913-7862
Phone number: 920-731-6611
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Mailing Address
Mrs. KRISTINE J. CLARK O.T.C.
VALLEY ORTHOPEDIC CLINIC SC 2105 E ENTERPRISE AVE., STE 111
APPLETON, WI 54913-7862
Phone number: 920-731-6611
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