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1326006834
MICHAEL G CLARK
BEDFORD, TX
NPI
1326006834
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA00339)
Enumeration Date
2006-05-03
Last Update Date
2012-03-15
Business Address
-- MICHAEL G CLARK PA
1305 AIRPORT FWY STE 305
BEDFORD, TX 76021-6604
Phone number: 817-545-1355
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Mailing Address
-- MICHAEL G CLARK PA
1305 AIRPORT FWY STE 305
BEDFORD, TX 76021-6604
Phone number: 817-545-1355
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