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1144712035
NATHANIEL CLARK
INDIANAPOLIS, IN
NPI
1144712035
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: IN 18004088A)
Enumeration Date
2018-06-05
Last Update Date
2018-06-05
Business Address
NATHANIEL CLARK O.D.
105 S RACEWAY RD
INDIANAPOLIS, IN 46231-1414
Phone number: 317-273-8474
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Mailing Address
NATHANIEL CLARK O.D.
105 S RACEWAY RD
INDIANAPOLIS, IN 46231-1414
Phone number: 317-273-8474
Copy
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