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1447214655
JENNIE T CLARKE
SALT LAKE CITY, UT
NPI
1447214655
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207N00000X Dermatology
(Licence: UT 9067596-1205)
Enumeration Date
2006-04-14
Last Update Date
2021-11-12
Business Address
JENNIE T CLARKE MD
50 N MEDICAL DR
SALT LAKE CITY, UT 84132-0001
Phone number: 801-581-2955
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Mailing Address
JENNIE T CLARKE MD
PO BOX 3208
SALT LAKE CITY, UT 84110-3208
Phone number: 801-587-6340
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