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1710265160
MARK CLARK
GERALD, MO
NPI
1710265160
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
247200000X Technician, Other
Enumeration Date
2011-08-02
Last Update Date
2011-08-02
Business Address
MARK CLARK
6646 HIGHWAY 50
GERALD, MO 63037-2700
Phone number: 573-764-5707
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Mailing Address
MARK CLARK
6646 HIGHWAY 50
GERALD, MO 63037-2700
Phone number: 573-764-5707
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