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1164447272
ANDREW CLARK
SPRINGFIELD, IL
NPI
1164447272
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: IL 046007654)
Enumeration Date
2006-07-12
Last Update Date
2012-06-12
Business Address
Dr. ANDREW CLARK O.D.
121 N GRAND AVE W
SPRINGFIELD, IL 62702-2562
Phone number: 217-528-3233
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Mailing Address
Dr. ANDREW CLARK O.D.
121 N GRAND AVE W
SPRINGFIELD, IL 62702-2562
Phone number: 217-528-3233
Copy
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