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1164836557
KATHLEEN CLARK
SAINT JOSEPH, MI
NPI
1164836557
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: MI 5101021292)
Enumeration Date
2014-06-13
Last Update Date
2018-07-24
Business Address
KATHLEEN CLARK D.O.
1234 NAPIER AVE
SAINT JOSEPH, MI 49085
Phone number: 269-982-4941
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Mailing Address
KATHLEEN CLARK D.O.
1 INDEPENDENCE PT STE 212
GREENVILLE, SC 29615-4536
Phone number: 864-797-6174
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