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1659374007
LEO JP CLARK
MAUMEE, OH
NPI
1659374007
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207T00000X Neurological Surgery
(Licence: OH 35039317C)
Enumeration Date
2005-05-31
Last Update Date
2016-01-12
Business Address
-- LEO JP CLARK M.D.
5705 MONCLOVA RD SUITE 204
MAUMEE, OH 43537-1875
Phone number: 419-891-8045
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Mailing Address
-- LEO JP CLARK M.D.
1 SEAGATE SUITE 800
TOLEDO, OH 43604-1558
Phone number: 567-585-1983
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