SHANTA LYNN CLARK

DOWAGIAC, MI
NPI1790169688
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: MI  5601007413)
Enumeration Date2015-07-10
Last Update Date2015-07-10
Business Address
Mrs. SHANTA LYNN CLARK P.A.-C
58620 SINK RD POKAGON HEALTH SERVICES
DOWAGIAC, MI 49047-9329
Phone number: 269-782-4141
Mailing Address
Mrs. SHANTA LYNN CLARK P.A.-C
58620 SINK RD POKAGON HEALTH SERVICES
DOWAGIAC, MI 49047-9329
Phone number: 269-782-4141
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