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1205696366
FORREST BENJAMIN CLARK
MORGANTOWN, WV
NPI
1205696366
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-03-19
Last Update Date
2024-03-19
Business Address
FORREST BENJAMIN CLARK MD
1 MEDICAL CENTER DR
MORGANTOWN, WV 26506-1200
Phone number: 304-293-2463
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Mailing Address
FORREST BENJAMIN CLARK MD
PO BOX 525
UVALDA, GA 30473-0525
Phone number: 912-253-5996
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