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1154353720
STEVEN J CLARK
MOUNT VERNON, IL
NPI
1154353720
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2086S0122X Surgery, Plastic and Reconstructive Surgery
(Licence: IL 036086955)
Enumeration Date
2006-07-06
Last Update Date
2013-10-21
Business Address
Mr. STEVEN J CLARK MD
2 GOOD SAMARITAN WAY SUITE 235
MOUNT VERNON, IL 62864-2408
Phone number: 618-899-3980
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Mailing Address
Mr. STEVEN J CLARK MD
2 GOOD SAMARITAN WAY SUITE 235
MOUNT VERNON, IL 62864-2408
Phone number: 618-899-3980
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