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1174597371
SUE CLARK
PEORIA, IL
NPI
1174597371
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2080P0006X Pediatrics, Developmental - Behavioral Pediatrics
(Licence: IL 036093117)
Enumeration Date
2006-02-14
Last Update Date
2007-07-09
Business Address
-- SUE CLARK MD
507 E ARMSTRONG AVE REGIONAL DEVELOPMENT CENTER
PEORIA, IL 61603-3201
Phone number: 309-681-6960
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Mailing Address
-- SUE CLARK MD
1 ILLINI DR
PEORIA, IL 61605-2576
Phone number: 309-671-8503
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