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1487041273
JEFFREY G. CLARK
SALT LAKE CITY, UT
NPI
1487041273
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084P0800X Psychiatry & Neurology Psychiatry
(Licence: UT 10564219-1205)
Enumeration Date
2015-04-20
Last Update Date
2022-08-28
Business Address
JEFFREY G. CLARK M.D.
501 S CHIPETA WAY
SALT LAKE CITY, UT 84108-1222
Phone number: 801-587-3543
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Mailing Address
JEFFREY G. CLARK M.D.
501 S CHIPETA WAY
SALT LAKE CITY, UT 84108-1222
Phone number: 801-587-3543
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