DANIEL J CLARK

GREEN BAY, WI
NPI1639454689
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy183500000X Pharmacist
(Licence: WI  10716-40)
Enumeration Date2011-10-20
Last Update Date2011-10-20
Business Address
-- DANIEL J CLARK
1995 MAIN ST
GREEN BAY, WI 54302-3920
Phone number: 920-465-6210
Mailing Address
-- DANIEL J CLARK
1995 MAIN ST
GREEN BAY, WI 54302-3920
Phone number: 920-465-6210
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