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1306060249
RUSSELL ADELBERT CLARK
MARYSVILLE, WA
NPI
1306060249
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
122300000X Dentist
(Licence: WA 6917)
Enumeration Date
2007-04-12
Last Update Date
2007-07-08
Business Address
Dr. RUSSELL ADELBERT CLARK DDS
7825 47TH AVE NE SUITE C
MARYSVILLE, WA 98270-3732
Phone number: 360-657-7785
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Mailing Address
Dr. RUSSELL ADELBERT CLARK DDS
7825 47TH AVE NE SUITE C
MARYSVILLE, WA 98270-3732
Phone number: 360-657-7785
Copy
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