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1467521153
GREGORY ALEXANDER CLARK
COON RAPIDS, MN
NPI
1467521153
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: MN 2806)
Enumeration Date
2006-11-07
Last Update Date
2012-11-29
Business Address
Dr. GREGORY ALEXANDER CLARK O.D.
12547 RIVERDALE BLVD NW COSTCO OPTICAL DEPARTMENT
COON RAPIDS, MN 55448-6708
Phone number: 763-712-7761
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Mailing Address
Dr. GREGORY ALEXANDER CLARK O.D.
16160 22ND PL N
PLYMOUTH, MN 55447-2382
Phone number: 612-703-0298
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