TIMOTHY DALE CLARK

GAINESVILLE, FL
NPI1831226604
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy332B00000X Durable Medical Equipment & Medical Supplies
(Licence: FL  1312783)
Enumeration Date2007-02-27
Last Update Date2007-07-09
Business Address
-- TIMOTHY DALE CLARK CCP
1600 SW ARCHER RD SUITE NG-28
GAINESVILLE, FL 32610-3003
Phone number: 352-665-1209
Mailing Address
-- TIMOTHY DALE CLARK CCP
9335 SW 35TH LN
GAINESVILLE, FL 32608-8620
Phone number: 352-665-1209
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