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1598415374
CLARK MARTIN
JACKSON, MS
NPI
1598415374
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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
2022-03-25
Last Update Date
2022-03-25
Business Address
CLARK MARTIN MD
2500 N STATE ST
JACKSON, MS 39216-4500
Phone number: 601-984-1000
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Mailing Address
CLARK MARTIN MD
2945 LAYFAIR DR APT 1222
FLOWOOD, MS 39232-9769
Phone number: 662-554-9366
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