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1205820081
DARYLE L CLARK
GILLETTE, WY
NPI
1205820081
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: WY 191T)
Enumeration Date
2005-09-07
Last Update Date
2015-12-05
Business Address
Dr. DARYLE L CLARK OD
312 E LAKEWAY RD
GILLETTE, WY 82718-6329
Phone number: 307-687-7353
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Mailing Address
Dr. DARYLE L CLARK OD
312 E LAKEWAY RD
GILLETTE, WY 82718-6329
Phone number: 307-686-2010
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