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1760872071
STEPHEN TRAVIS CLARK
KAYSVILLE, UT
NPI
1760872071
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: UT 11893114-1204)
Enumeration Date
2015-01-26
Last Update Date
2024-10-23
Business Address
STEPHEN TRAVIS CLARK D.O.
435 N MAIN ST
KAYSVILLE, UT 84037-1194
Phone number: 801-498-6000
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Mailing Address
STEPHEN TRAVIS CLARK D.O.
PO BOX 27128
SALT LAKE CITY, UT 84127-0128
Phone number:
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