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1215132410
JUSTIN JAMES CLARK
JBER, AK
NPI
1215132410
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208600000X Surgery
(Licence: AK 7555)
Enumeration Date
2007-06-18
Last Update Date
2014-06-30
Business Address
Dr. JUSTIN JAMES CLARK M.D.
5955 ZEAMER AVE
JBER, AK 99506-3702
Phone number: 907-580-1243
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Mailing Address
Dr. JUSTIN JAMES CLARK M.D.
5757 GREECE DR
ANCHORAGE, AK 99516-6216
Phone number: 808-387-4441
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