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1487609111
CRAIG LEO CLARK
CEDAR RAPIDS, IA
NPI
1487609111
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: IA 15253)
Enumeration Date
2006-05-23
Last Update Date
2007-07-08
Business Address
Mr. CRAIG LEO CLARK RPh
1946 42ND ST NE
CEDAR RAPIDS, IA 52402
Phone number: 319-393-3210
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Mailing Address
Mr. CRAIG LEO CLARK RPh
1946 42ND ST NE
CEDAR RAPIDS, IA 52402
Phone number: 319-393-3210
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