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1407093065
DAVID E. CLARK
DAYTON, OH
NPI
1407093065
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: OH LD.6277)
Enumeration Date
2009-01-19
Last Update Date
2009-01-19
Business Address
Mr. DAVID E. CLARK R.D.
4132 SIERRA PARK TER
DAYTON, OH 45440-3324
Phone number: 937-603-1021
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Mailing Address
Mr. DAVID E. CLARK R.D.
4132 SIERRA PARK TER
DAYTON, OH 45440-3324
Phone number: 937-603-1021
Copy
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