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1134250921
CLEMON PARDALES
JACKSON, MI
NPI
1134250921
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: MI 5101005389)
Enumeration Date
2007-03-07
Last Update Date
2007-07-08
Business Address
-- CLEMON PARDALES D.O.
2775 BLAKE RD
JACKSON, MI 49201-8838
Phone number: 517-787-2906
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Mailing Address
-- CLEMON PARDALES D.O.
PO BOX 609
UNION LAKE, MI 48387-0609
Phone number: 248-366-9504
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