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1538129085
JUSTIN CLARK
FORT WALTON BEACH, FL
NPI
1538129085
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207K00000X Allergy & Immunology
(Licence: FL OS9224)
Enumeration Date
2006-03-27
Last Update Date
2018-03-17
Business Address
JUSTIN CLARK D.O.
362 BEAL PKWY NW STE 105
FORT WALTON BEACH, FL 32548-3926
Phone number: 850-862-3020
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Mailing Address
JUSTIN CLARK D.O.
362 BEAL PKWY NW STE 105
FORT WALTON BEACH, FL 32548-3926
Phone number: 850-862-3020
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