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1760910863
DAVID EDSON CLARK
SOUTH PORTLAND, ME
NPI
1760910863
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: ME DO3002)
Enumeration Date
2017-06-01
Last Update Date
2023-10-24
Business Address
DAVID EDSON CLARK DO
100 FODEN RD STE 203
SOUTH PORTLAND, ME 04106-2327
Phone number: 207-874-1489
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Mailing Address
DAVID EDSON CLARK DO
100 GANNETT DR STE C
SOUTH PORTLAND, ME 04106-5900
Phone number: 207-828-0361
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