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1801063664
CHRISTOPHER M CLARK
ROANOKE, VA
NPI
1801063664
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
156FX1800X Technician/Technologist, Optician
(Licence: VA 1101 002026)
Enumeration Date
2008-05-12
Last Update Date
2008-05-12
Business Address
Mr. CHRISTOPHER M CLARK Licensed Optician
1960 ELECTRIC RD
ROANOKE, VA 24018-1601
Phone number: 540-776-9722
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Mailing Address
Mr. CHRISTOPHER M CLARK Licensed Optician
4833 SHADOW LN
ROANOKE, VA 24019-2563
Phone number: 540-562-1380
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