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1891013967
ALLEN R CLARK
SOUTH BEND, IN
NPI
1891013967
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207V00000X Obstetrics & Gynecology
(Licence: IN 01074111)
Enumeration Date
2010-05-13
Last Update Date
2023-03-07
Business Address
-- ALLEN R CLARK M.D.
515 N LAFAYETTE BLVD
SOUTH BEND, IN 46601-1003
Phone number: 574-232-2037
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Mailing Address
-- ALLEN R CLARK M.D.
515 N LAFAYETTE BLVD
SOUTH BEND, IN 46601-1003
Phone number: 574-232-2037
Copy
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