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1508951435
LEVON CLARK
SAN ANTONIO, TX
NPI
1508951435
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: TX PA02702)
Enumeration Date
2006-10-04
Last Update Date
2007-07-08
Business Address
Mr. LEVON CLARK PA
5788 ECKHERT RD
SAN ANTONIO, TX 78240-3900
Phone number: 210-699-2280
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Mailing Address
Mr. LEVON CLARK PA
5788 ECKHERT RD
SAN ANTONIO, TX 78240-3900
Phone number: 210-699-2280
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