DONALD LEE CLARK

GRANITE CITY, IL
NPI1366090573
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363LF0000X Nurse Practitioner Family
(Licence: IL  209019719)
Enumeration Date2019-08-30
Last Update Date2019-08-30
Business Address
DONALD LEE CLARK FNP-BC
2100 MADISON AVE
GRANITE CITY, IL 62040-4713
Phone number: 618-798-3000
Mailing Address
DONALD LEE CLARK FNP-BC
8308 BURLINGTON DR
TROY, IL 62294-4003
Phone number: 618-402-3946
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