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1548403678
TERRY K CLARK
PARK CITY, UT
NPI
1548403678
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208600000X Surgery
(Licence: AK 2480)
Enumeration Date
2009-04-20
Last Update Date
2009-04-20
Business Address
Dr. TERRY K CLARK MD
4976 E MEADOWS DR
PARK CITY, UT 84098-5921
Phone number: 435-602-9767
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Mailing Address
Dr. TERRY K CLARK MD
PO BOX 982255
PARK CITY, UT 84098-2255
Phone number: 435-602-9767
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