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1861197386
ROSS CLARK
LAFAYETTE, LA
NPI
1861197386
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
Enumeration Date
2023-04-03
Last Update Date
2023-12-29
Business Address
ROSS CLARK
1700 KALISTE SALOOM RD
LAFAYETTE, LA 70508-6186
Phone number: 337-981-5085
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Mailing Address
ROSS CLARK
PO BOX 363
MAURICE, LA 70555-0363
Phone number: 337-501-2807
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