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1609567643
IAN LAURENCE CLARK
KALAMAZOO, MI
NPI
1609567643
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
(Licence: MI 4351051369)
Enumeration Date
2023-05-19
Last Update Date
2023-06-22
Business Address
IAN LAURENCE CLARK MD
1000 OAKLAND DR
KALAMAZOO, MI 49008-1282
Phone number: 269-337-4600
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Mailing Address
IAN LAURENCE CLARK MD
1000 OAKLAND DR
KALAMAZOO, MI 49008-1282
Phone number:
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