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1174161137
ELIZABETH JEWELL CLARK
KOKOMO, IN
NPI
1174161137
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
183500000X Pharmacist
(Licence: IN 26027977A)
Enumeration Date
2019-12-20
Last Update Date
2019-12-20
Business Address
ELIZABETH JEWELL CLARK PHARMD
3608 S LAFOUNTAIN ST
KOKOMO, IN 46902-3809
Phone number: 765-455-2191
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Mailing Address
ELIZABETH JEWELL CLARK PHARMD
PO BOX 491
WINDFALL, IN 46076-0491
Phone number: 765-425-6544
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