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1588109078
AUSTIN F CLARK
O FALLON, MO
NPI
1588109078
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2016-12-20
Last Update Date
2016-12-20
Business Address
-- AUSTIN F CLARK DPT
951 WATERBURY FALLS DR
O FALLON, MO 63368-2202
Phone number: 636-336-0300
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Mailing Address
-- AUSTIN F CLARK DPT
625 ENTERPRISE DR
OAK BROOK, IL 60523-8813
Phone number: 630-575-6200
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