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1720118359
RAYMOND B CLARK
JACKSON, MI
NPI
1720118359
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: MI 016724)
Enumeration Date
2007-03-06
Last Update Date
2007-07-08
Business Address
Dr. RAYMOND B CLARK D.D.S
1520 HORTON RD
JACKSON, MI 49203-5127
Phone number: 517-784-2061
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Mailing Address
Dr. RAYMOND B CLARK D.D.S
1520 HORTON RD
JACKSON, MI 49203-5127
Phone number: 517-784-2061
Copy
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