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1356313969
DENNIS DEWAYNE CLARK
ANNISTON, AL
NPI
1356313969
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
174400000X Specialist
(Licence: AL 23397)
Enumeration Date
2006-02-07
Last Update Date
2011-07-28
Business Address
DENNIS DEWAYNE CLARK M.D.
111 TOWN CENTER DR
ANNISTON, AL 36205-4101
Phone number: 256-237-1624
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Mailing Address
DENNIS DEWAYNE CLARK M.D.
PO BOX 5430
ANNISTON, AL 36205-0430
Phone number: 256-237-1624
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