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1225119191
SCOTT EARL CLARK
BUFFALO, NY
NPI
1225119191
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NY 007724-1)
Enumeration Date
2006-10-18
Last Update Date
2022-09-06
Business Address
SCOTT EARL CLARK RPAC
6 FOUNTAIN PLAZA
BUFFALO, NY 14202
Phone number: 716-691-8838
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Mailing Address
SCOTT EARL CLARK RPAC
150 S MAIN ST
BATAVIA, NY 14020-1814
Phone number: 585-344-2749
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