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1427207513
MICHELLE HIROMI CLARK
FORT CAMPBELL, KY
NPI
1427207513
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Former Name
MICHELLE HIROMI RAY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: AZ D009580)
Enumeration Date
2008-09-12
Last Update Date
2020-01-14
Business Address
Dr. MICHELLE HIROMI CLARK DMD
2441 21 ST.
FORT CAMPBELL, KY 42223
Phone number: 270-798-8751
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Mailing Address
Dr. MICHELLE HIROMI CLARK DMD
2441 21 ST.
FORT CAMPBELL, KY 42223
Phone number: 270-798-8751
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