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1235127291
KEVIN N CLARK
BOUNTIFUL, UT
NPI
1235127291
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208600000X Surgery
(Licence: UT 901831861205)
Enumeration Date
2005-10-12
Last Update Date
2011-10-19
Business Address
Dr. KEVIN N CLARK MD
425 MEDICAL DR STE 101
BOUNTIFUL, UT 84010-4945
Phone number: 801-298-9409
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Mailing Address
Dr. KEVIN N CLARK MD
425 MEDICAL DR STE 101
BOUNTIFUL, UT 84010-4945
Phone number: 801-298-9409
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