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1376616227
STEVAN RAY CLARK
LOS ANGELES, CA
NPI
1376616227
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: CA G63102)
Enumeration Date
2006-11-16
Last Update Date
2007-07-08
Business Address
Dr. STEVAN RAY CLARK M.D.
10220 S WESTERN AVE
LOS ANGELES, CA 90047-4258
Phone number: 323-757-1744
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Mailing Address
Dr. STEVAN RAY CLARK M.D.
10220 S WESTERN AVE
LOS ANGELES, CA 90047-4258
Phone number: 323-757-1744
Copy
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