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1760410112
TERRENCE CHARLES CLARK
DULUTH, MN
NPI
1760410112
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RP1001X Internal Medicine, Pulmonary Disease
(Licence: MN 22526)
Enumeration Date
2006-06-28
Last Update Date
2011-06-24
Business Address
-- TERRENCE CHARLES CLARK
400 E 3RD ST
DULUTH, MN 55805-1951
Phone number: 218-786-8364
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Mailing Address
-- TERRENCE CHARLES CLARK
400 E 3RD ST
DULUTH, MN 55805-1951
Phone number: 218-786-8364
Copy
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