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1376728048
STACY J CLARK
SANTA CLARITA, CA
NPI
1376728048
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: CA 20A7457)
Enumeration Date
2007-12-31
Last Update Date
2007-12-31
Business Address
Dr. STACY J CLARK D.O.
27107 TOURNEY RD
SANTA CLARITA, CA 91355-1860
Phone number: 661-222-2154
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Mailing Address
Dr. STACY J CLARK D.O.
24920 GREENSBRIER DR
STEVENSON RANCH, CA 91381-1830
Phone number: 661-286-9996
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