ED J CLARK

CANTON, OH
NPI1306800222
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: OH  RN217418)
Enumeration Date2006-04-17
Last Update Date2007-10-31
Business Address
-- ED J CLARK CRNA
2600 SIXTH STREET SW OHIO HOSPITAL BASED PHYSICIAN CORP
CANTON, OH 44710
Phone number: 330-363-7462
Mailing Address
-- ED J CLARK CRNA
2600 SIXTH STREET SW OHIO HOSPITAL BASED PHYSICIAN CORP
CANTON, OH 44710
Phone number: 330-363-7462
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