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1245938968
JOHN B CLARK
TACOMA, WA
NPI
1245938968
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208D00000X General Practice
(Licence: VA 0101283147)
Enumeration Date
2023-02-21
Last Update Date
2024-09-29
Business Address
JOHN B CLARK
9040 JACKSON AVE
TACOMA, WA 98431-0001
Phone number: 253-968-1250
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Mailing Address
JOHN B CLARK
9040 JACKSON AVE
TACOMA, WA 98431-0001
Phone number: 253-968-1250
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