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1710564901
KEVIN ALAN CLARK
GAINESVILLE, FL
NPI
1710564901
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2021-03-25
Last Update Date
2021-03-25
Business Address
KEVIN ALAN CLARK
1600 SW ARCHER RD
GAINESVILLE, FL 32610-3003
Phone number: 352-265-0077
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Mailing Address
KEVIN ALAN CLARK
PO BOX 51
BARBOURSVILLE, WV 25504-0051
Phone number:
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