KRISTEN NICOLE CLARK

CHAMPAIGN, IL
NPI1306134317
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy152W00000X Optometrist
(Licence: IL  046010447)
Enumeration Date2011-07-12
Last Update Date2011-08-05
Business Address
-- KRISTEN NICOLE CLARK OD
2435 VILLAGE GREEN PL
CHAMPAIGN, IL 61822-7676
Phone number: 800-325-7706
Mailing Address
-- KRISTEN NICOLE CLARK OD
PO BOX 757
BLOOMINGTON, IL 61702-0757
Phone number: 800-325-7706