MATTHEW WILLIAM CLARK

FPO, AA
NPI1245284629
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy1710I1002X Military Health Care Provider Independent Duty Corpsman
Enumeration Date2006-05-20
Last Update Date2010-05-12
Business Address
MR. MATTHEW WILLIAM CLARK IDC
USS PHILIPPINE SEA
FPO, AA 34092-1178
Phone number: 904-270-6502
Mailing Address
MR. MATTHEW WILLIAM CLARK IDC
453 CODY DR
ORANGE PARK, FL 32073-4214
Phone number: 904-270-5936
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