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1104910389
VERNON CLARK
NATIONAL CITY, CA
NPI
1104910389
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: CA PA10853)
Enumeration Date
2006-10-03
Last Update Date
2007-07-08
Business Address
MR. VERNON CLARK PA
2400 E 8TH ST
NATIONAL CITY, CA 91950
Phone number: 619-267-4255
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Mailing Address
MR. VERNON CLARK PA
PO BOX 15160
SAN DIEGO, CA 92175-5160
Phone number: 619-267-4255
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