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1720004591
STEPHEN PAUL CLARK
ATHENS, TN
NPI
1720004591
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: TN 1668)
Enumeration Date
2006-07-14
Last Update Date
2007-07-08
Business Address
DR. STEPHEN PAUL CLARK O.D.
902 W MADISON AVE
ATHENS, TN 37303-3432
Phone number: 423-745-8882
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Mailing Address
DR. STEPHEN PAUL CLARK O.D.
PO BOX 826
ATHENS, TN 37371-0826
Phone number: 423-745-8882
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