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1639164098
JUSTIN WAYNE CLARK
LUBBOCK, TX
NPI
1639164098
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207N00000X Dermatology
(Licence: TX K4662)
Enumeration Date
2005-09-13
Last Update Date
2007-10-25
Business Address
Dr. JUSTIN WAYNE CLARK MD
3601 22ND ST LUBBOCK DERMATOLOGY
LUBBOCK, TX 79410-1309
Phone number: 806-796-7193
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Mailing Address
Dr. JUSTIN WAYNE CLARK MD
3601 22ND ST
LUBBOCK, TX 79410-1309
Phone number: 806-796-7193
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