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1184617771
JENNIFER L.K. CLARK
COLUMBIA, MO
NPI
1184617771
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: MO R4N27)
Enumeration Date
2005-08-30
Last Update Date
2012-01-18
Business Address
-- JENNIFER L.K. CLARK M.D.
1 S KEENE ST
COLUMBIA, MO 65201-7199
Phone number: 573-443-2402
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Mailing Address
-- JENNIFER L.K. CLARK M.D.
1 S KEENE ST
COLUMBIA, MO 65201-7199
Phone number: 573-443-2402
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