GARY L CLARK

BROOKSVILLE, FL
NPI1114911328
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: FL  PA2265)
Enumeration Date2005-09-01
Last Update Date2014-09-22
Business Address
-- GARY L CLARK PA C
605 LAMAR AVE
BROOKSVILLE, FL 34601-3211
Phone number: 352-799-5411
Mailing Address
-- GARY L CLARK PA C
605 LAMAR AVE
BROOKSVILLE, FL 34601-3211
Phone number: 352-799-5411
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