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1285951574
AMANDA VICK CLARK
JACKSON, MS
NPI
1285951574
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Former Name
AMANDA GAYLE VICK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MS 24985)
Enumeration Date
2010-04-26
Last Update Date
2018-03-17
Business Address
AMANDA VICK CLARK M.D.
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-984-5660
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Mailing Address
AMANDA VICK CLARK M.D.
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-984-5660
Copy
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