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1497983332
CHRISTOPHER LEE CLARK
NELLIS AFB, NV
NPI
1497983332
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1003X Military Health Care Provider, Independent Duty Medical Technicians
Enumeration Date
2009-06-30
Last Update Date
2009-06-30
Business Address
-- CHRISTOPHER LEE CLARK IDMT
5179 MALMSTROM AVE
NELLIS AFB, NV 89191-6126
Phone number: 702-652-1542
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Mailing Address
-- CHRISTOPHER LEE CLARK IDMT
5197 MALMSTROM AVE.
NELLIS AFB, NV 89191
Phone number: 702-652-1542
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