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1467475129
LORRAINE POLITE CLARK
JACKSONVILLE, FL
NPI
1467475129
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: FL DN14105)
Enumeration Date
2006-07-25
Last Update Date
2013-01-16
Business Address
LORRAINE POLITE CLARK DMD
5475 SOUTEL DR
JACKSONVILLE, FL 32219-3464
Phone number: 904-764-4576
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Mailing Address
LORRAINE POLITE CLARK DMD
5475 SOUTEL DR
JACKSONVILLE, FL 32219-3464
Phone number: 904-764-4576
Copy
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