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1649499146
PAUL GRAHAM CLARK
WEST PLAINS, MO
NPI
1649499146
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
183500000X Pharmacist
(Licence: MO 044351)
Enumeration Date
2007-04-24
Last Update Date
2007-07-08
Business Address
Mr. PAUL GRAHAM CLARK
1100 N KENTUCKY AVE
WEST PLAINS, MO 65775-2029
Phone number: 417-256-9111
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Mailing Address
Mr. PAUL GRAHAM CLARK
418 COUNTY ROAD 804
GAMALIEL, AR 72537-9767
Phone number: 870-467-5733
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