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1689700684
JEFFREY C CLARK
FARMINGTON, NM
NPI
1689700684
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: NM DD2674)
Enumeration Date
2007-02-26
Last Update Date
2007-07-08
Business Address
Dr. JEFFREY C CLARK D.D.S.
141 W 20TH STREET
FARMINGTON, NM 87401-3401
Phone number: 505-325-7121
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Mailing Address
Dr. JEFFREY C CLARK D.D.S.
141 W 20TH STREET
FARMINGTON, NM 87401-3401
Phone number: 505-325-7121
Copy
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