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1487806717
KELLY JEANNE CLARK
TRAVERSE CITY, MI
NPI
1487806717
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: MI 4301090780)
Enumeration Date
2008-10-17
Last Update Date
2020-10-26
Business Address
KELLY JEANNE CLARK MD
1400 MEDICAL CAMPUS DR
TRAVERSE CITY, MI 49684-7823
Phone number: 231-935-8031
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Mailing Address
KELLY JEANNE CLARK MD
1400 MEDICAL CAMPUS DR
TRAVERSE CITY, MI 49684-7823
Phone number: 231-935-8031
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