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1710075023
LORRAINE CLARK
WESTLAND, MI
NPI
1710075023
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: MI 5101008704)
Enumeration Date
2006-10-11
Last Update Date
2007-07-08
Business Address
-- LORRAINE CLARK D. O.
6149 N WAYNE RD
WESTLAND, MI 48185-7128
Phone number: 734-728-2130
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Mailing Address
-- LORRAINE CLARK D. O.
6149 N WAYNE RD
WESTLAND, MI 48185-7128
Phone number: 734-728-2130
Copy
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