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1104826593
STEPHEN CLARK
JACKSONVILLE, FL
NPI
1104826593
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: FL 37087)
Enumeration Date
2005-07-28
Last Update Date
2007-07-08
Business Address
-- STEPHEN CLARK M.D.
6111 BEACH BLVD
JACKSONVILLE, FL 32216-2751
Phone number: 904-739-1140
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Mailing Address
-- STEPHEN CLARK M.D.
6111 BEACH BLVD
JACKSONVILLE, FL 32216-2751
Phone number: 904-739-1140
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