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1104975168
CLINTON CLARK DPM LLC
BOISE, ID
NPI
1104975168
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Entity Type
Organization
Authorized Contact
CLINTON H CLARK
Owner
208-928-4670
Organization Subpart ?
No
Primary Taxonomy
213ES0103X Podiatrist Foot & Ankle Surgery
Enumeration Date
2007-01-09
Last Update Date
2020-08-22
Business Address
CLINTON CLARK DPM LLC
6051 N EAGLE RD
BOISE, ID 83713-0997
Phone number: 208-938-4670
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Mailing Address
CLINTON CLARK DPM LLC
6051 N EAGLE RD
BOISE, ID 83713-0997
Phone number: 208-938-4670
Copy
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