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1699024695
JASON M CLARK
COLUMBIA, MO
NPI
1699024695
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: MO 2012021505)
Enumeration Date
2012-09-05
Last Update Date
2012-09-05
Business Address
Dr. JASON M CLARK O.D.
101 CONLEY RD
COLUMBIA, MO 65201-6465
Phone number: 573-875-1126
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Mailing Address
Dr. JASON M CLARK O.D.
101 CONLEY RD
COLUMBIA, MO 65201-6465
Phone number: 573-875-1126
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