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1821436387
CLARK E MELSTROM
KINGMAN, AZ
NPI
1821436387
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
122300000X Dentist
(Licence: AZ 2714)
Enumeration Date
2013-06-06
Last Update Date
2013-06-06
Business Address
-- CLARK E MELSTROM
4601 STOCKTON HILL RD.
KINGMAN, AZ 86409-1759
Phone number: 928-757-3225
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Mailing Address
-- CLARK E MELSTROM
4601 STOCKTON HILL RD
KINGMAN, AZ 86409-1756
Phone number: 928-757-3225
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