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1255671723
JEFFREY JOSEPH CLARK
CLINTON TOWNSHIP, MI
NPI
1255671723
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163WP0808X Registered Nurse, Psych/Mental Health
(Licence: MI 4704247791)
Enumeration Date
2013-02-21
Last Update Date
2013-02-21
Business Address
-- JEFFREY JOSEPH CLARK RN
43740 N GROESBECK HWY
CLINTON TOWNSHIP, MI 48036-1139
Phone number: 586-469-7629
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Mailing Address
-- JEFFREY JOSEPH CLARK RN
43740 N GROESBECK HWY
CLINTON TOWNSHIP, MI 48036-1139
Phone number: 586-469-7629
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