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1720128283
PHYLLIS VERONICA CLARK
COLORADO SPRINGS, CO
NPI
1720128283
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
207R00000X Internal Medicine
(Licence: CO CO27522)
Enumeration Date
2007-02-07
Last Update Date
2007-07-08
Business Address
-- PHYLLIS VERONICA CLARK M.D.
1375 E FILLMORE ST
COLORADO SPRINGS, CO 80907-6457
Phone number: 719-632-8845
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Mailing Address
-- PHYLLIS VERONICA CLARK M.D.
1375 E FILLMORE ST
COLORADO SPRINGS, CO 80907-6457
Phone number: 719-632-8845
Copy
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