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1447022538
JONATHAN CLARK
LEXINGTON, KY
NPI
1447022538
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084A2900X Psychiatry & Neurology Neurocritical Care
(Licence: KY TC055)
Enumeration Date
2023-10-23
Last Update Date
2023-10-23
Business Address
JONATHAN CLARK PA
1720 NICHOLASVILLE RD STE 601
LEXINGTON, KY 40503-1451
Phone number: 859-260-4331
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Mailing Address
JONATHAN CLARK PA
417 DABNEY DR
LEXINGTON, KY 40509-1870
Phone number: 859-421-6638
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