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1497008254
ANDREW THOMAS CLARK
CHESTERFIELD, MO
NPI
1497008254
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: MO 2013001474)
Enumeration Date
2012-10-17
Last Update Date
2019-05-14
Business Address
Mr. ANDREW THOMAS CLARK PA
15740 S OUTER 40 RD
CHESTERFIELD, MO 63017
Phone number: 636-735-4268
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Mailing Address
Mr. ANDREW THOMAS CLARK PA
15740 S OUTER 40 RD
CHESTERFIELD, MO 63017-2004
Phone number: 636-735-4268
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