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1578527115
LEROY A CLARK
SISSETON, SD
NPI
1578527115
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: SD 5019)
Enumeration Date
2006-04-12
Last Update Date
2012-09-05
Business Address
DR. LEROY A CLARK M.D
100 LAKE TRAVERSE DR
SISSETON, SD 57262-7046
Phone number: 605-698-7606
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Mailing Address
DR. LEROY A CLARK M.D
100 LAKE TRAVERSE DR
SISSETON, SD 57262-7046
Phone number: 605-698-7606
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