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1609912427
CHARLES EDWARD CLARK
BRISTOL, VT
NPI
1609912427
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: VT 0420006979)
Enumeration Date
2007-01-29
Last Update Date
2013-09-26
Business Address
Dr. CHARLES EDWARD CLARK MD
74 MUNSILL AVE SUITE 100
BRISTOL, VT 05443-1032
Phone number: 802-453-5028
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Mailing Address
Dr. CHARLES EDWARD CLARK MD
74 MUNSILL AVE SUITE 100
BRISTOL, VT 05443-1032
Phone number: 802-453-5028
Copy
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