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1497833511
DANIEL LEE CLARK
LOCKPORT, IL
NPI
1497833511
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IL 036071157)
Enumeration Date
2006-11-02
Last Update Date
2009-11-23
Business Address
Dr. DANIEL LEE CLARK DO
14831 W 159TH ST HARRIS BANK BUILDING
LOCKPORT, IL 60491
Phone number: 815-838-0052
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Mailing Address
Dr. DANIEL LEE CLARK DO
14831 W 159TH ST HARRIS BANK BUILDING
LOCKPORT, IL 60491
Phone number: 815-838-0052
Copy
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