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1215996574
CAROL CLARK
ROYAL OAK, MI
NPI
1215996574
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: MI 4301050141)
Enumeration Date
2006-03-23
Last Update Date
2022-07-19
Business Address
CAROL CLARK
3601 W 13 MILE RD EC
ROYAL OAK, MI 48073-6712
Phone number: 248-898-0575
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Mailing Address
CAROL CLARK
26901 BEAUMONT BLVD STE 3D
SOUTHFIELD, MI 48033-3849
Phone number:
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