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1598776882
MELISSA GAYLE CLARK
SPRINGFIELD, IL
NPI
1598776882
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Former Name
MELISSA BOSTWICK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IL 085-002601)
Enumeration Date
2006-08-11
Last Update Date
2014-02-11
Business Address
Mrs. MELISSA GAYLE CLARK PA-C
619 E MASON ST SUITE 4P57
SPRINGFIELD, IL 62701-1034
Phone number: 217-788-0706
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Mailing Address
Mrs. MELISSA GAYLE CLARK PA-C
619 E MASON ST SUITE 4P57
SPRINGFIELD, IL 62701-1034
Phone number: 217-788-0706
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