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1184721912
CHRISTOPHER SHADBURN CLARK
VERO BEACH, FL
NPI
1184721912
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: FL me80173)
Enumeration Date
2006-09-20
Last Update Date
2007-07-08
Business Address
Dr. CHRISTOPHER SHADBURN CLARK md
777 37TH ST
VERO BEACH, FL 32960-4873
Phone number: 772-778-7217
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Mailing Address
Dr. CHRISTOPHER SHADBURN CLARK md
906 TULIP LN
VERO BEACH, FL 32963-2101
Phone number: 772-234-1060
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