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1124301106
CHARLES MALCOLM CLARK
INDIANAPOLIS, IN
NPI
1124301106
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207RE0101X Internal Medicine, Endocrinology, Diabetes & Metabolism
(Licence: IN 01020086A)
Enumeration Date
2011-09-26
Last Update Date
2011-09-26
Business Address
Dr. CHARLES MALCOLM CLARK MD
2802 LAFAYETTE ROAD SUITE 13 EAGLEDALE HEALTH CENTER
INDIANAPOLIS, IN 46222-2112
Phone number: 317-923-7510
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Mailing Address
Dr. CHARLES MALCOLM CLARK MD
2802 LAFAYETTE ROAD SUITE 13 EAGLEDALE HEALTH CENTER
INDIANAPOLIS, IN 46222-2112
Phone number: 317-923-7510
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