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1881736593
JOHN E CLARK
BATON ROUGE, LA
NPI
1881736593
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: LA 08015R)
Enumeration Date
2007-02-12
Last Update Date
2009-05-18
Business Address
Dr. JOHN E CLARK
4545 BLUEBONNET BLVD
BATON ROUGE, LA 70809-5600
Phone number: 225-766-2311
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Mailing Address
Dr. JOHN E CLARK
PO BOX 84358
BATON ROUGE, LA 70884-4358
Phone number: 225-766-2311
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