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1164464806
JACOB A CLARK
ALEXANDRIA, VA
NPI
1164464806
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207W00000X Ophthalmology
(Licence: VA 0101041044)
Enumeration Date
2006-06-10
Last Update Date
2010-01-21
Business Address
-- JACOB A CLARK M.D.
411 N WASHINGTON ST
ALEXANDRIA, VA 22314-2311
Phone number: 703-548-5588
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Mailing Address
-- JACOB A CLARK M.D.
411 N WASHINGTON ST
ALEXANDRIA, VA 22314-2311
Phone number: 703-548-5588
Copy
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