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1225066939
RODERICK V. CLARK
LAFAYETTE, LA
NPI
1225066939
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207RN0300X Internal Medicine, Nephrology
(Licence: LA 019518)
Enumeration Date
2006-06-29
Last Update Date
2007-09-11
Business Address
Dr. RODERICK V. CLARK M.D.
2804 AMBASSADOR CAFFERY PKWY
LAFAYETTE, LA 70506-5906
Phone number: 337-981-5156
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Mailing Address
Dr. RODERICK V. CLARK M.D.
2804 AMBASSADOR CAFFERY PKWY
LAFAYETTE, LA 70506-5906
Phone number: 337-981-5156
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