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1285600098
GREGORY D. CLARK
LA JOLLA, CA
NPI
1285600098
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
213E00000X Podiatrist
(Licence: CA E3359)
Enumeration Date
2006-02-23
Last Update Date
2007-07-24
Business Address
-- GREGORY D. CLARK D.P.M.
10666 N TORREY PINES RD
LA JOLLA, CA 92037-1027
Phone number: 858-554-9946
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Mailing Address
-- GREGORY D. CLARK D.P.M.
FILE# 54433
LOS ANGELES, CA 90074-0001
Phone number: 858-784-5906
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