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1316046816
EDMUND JUSTIN CLARK
SALT LAKE CITY, UT
NPI
1316046816
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology Psychiatry
(Licence: FL ME105344)
Enumeration Date
2006-09-21
Last Update Date
2020-03-16
Business Address
DR. EDMUND JUSTIN CLARK M.D.
550 FOOTHILL BLVD STE 100
SALT LAKE CITY, UT 84113-1106
Phone number: 352-215-4391
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Mailing Address
DR. EDMUND JUSTIN CLARK M.D.
1535 ALEXANDRIA PL N
JACKSONVILLE, FL 32207-4049
Phone number: 352-215-4391
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