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1891164372
JIMMY CLARK
MADISON, WI
NPI
1891164372
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: WI 3614)
Enumeration Date
2015-09-15
Last Update Date
2021-01-19
Business Address
JIMMY CLARK P.A. - C
600 HIGHLAND AVE
MADISON, WI 53792-0001
Phone number: 608-262-2398
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Mailing Address
JIMMY CLARK P.A. - C
7974 UW HEALTH CT
MIDDLETON, WI 53562-5531
Phone number:
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