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1427130335
CLARK C LARSEN
MURRAY, UT
NPI
1427130335
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
213E00000X Podiatrist
(Licence: UT 5750318-0501)
Enumeration Date
2006-10-19
Last Update Date
2007-07-13
Business Address
-- CLARK C LARSEN DPM
5801 FASHION BLVD #120
MURRAY, UT 84107-6159
Phone number: 801-261-1391
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Mailing Address
-- CLARK C LARSEN DPM
5801 FASHION BLVD #120
MURRAY, UT 84107-6159
Phone number: 801-261-1391
Copy
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