KELLY DAWN CLARK

CHAMPAIGN, IL
NPI1780703520
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy183500000X Pharmacist
(Licence: IL  051039009)
Enumeration Date2007-03-29
Last Update Date2007-07-08
Business Address
Ms. KELLY DAWN CLARK RPh
1802 S MATTIS AVE
CHAMPAIGN, IL 61821-5923
Phone number: 217-326-1399
Mailing Address
Ms. KELLY DAWN CLARK RPh
3405 COUNTRY BEND PL
CHAMPAIGN, IL 61822-6155
Phone number: 217-355-9363