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1184872947
PAUL A CLARK
MANDEVILLE, LA
NPI
1184872947
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: LA LA4476)
Enumeration Date
2008-09-05
Last Update Date
2008-09-05
Business Address
-- PAUL A CLARK DDS
639 LOTUS DR N
MANDEVILLE, LA 70471-2926
Phone number: 985-624-5449
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Mailing Address
-- PAUL A CLARK DDS
639 LOTUS DR N
MANDEVILLE, LA 70471-2926
Phone number: 985-624-5449
Copy
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