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1235621327
JUSTIN M CLARK
DES MOINES, IA
NPI
1235621327
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IA R-11277)
Enumeration Date
2018-06-04
Last Update Date
2018-06-04
Business Address
JUSTIN M CLARK DO
1801 HICKMAN RD
DES MOINES, IA 50314-1505
Phone number: 515-282-5640
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Mailing Address
JUSTIN M CLARK DO
1801 HICKMAN RD
DES MOINES, IA 50314-1505
Phone number: 515-282-5640
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