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1235580903
RICHARD KENNETH CLARK
RHINELANDER, WI
NPI
1235580903
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WI 3766-23)
Enumeration Date
2016-06-23
Last Update Date
2016-06-23
Business Address
RICHARD KENNETH CLARK PA-C
1630 CHIPPEWA DR
RHINELANDER, WI 54501-9503
Phone number: 715-361-5480
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Mailing Address
RICHARD KENNETH CLARK PA-C
PO BOX 646
WOODRUFF, WI 54568-0646
Phone number: 715-614-0038
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