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1710924345
CLINTON H CLARK
MERIDIAN, ID
NPI
1710924345
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
213ES0103X Podiatrist, Foot & Ankle Surgery
(Licence: ID P191)
Enumeration Date
2006-06-01
Last Update Date
2014-02-21
Business Address
Dr. CLINTON H CLARK DPM
520 S EAGLE RD STE 1243
MERIDIAN, ID 83642-6351
Phone number: 208-938-4670
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Mailing Address
Dr. CLINTON H CLARK DPM
190 E BANNOCK ST
BOISE, ID 83712-6241
Phone number: 208-381-2222
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