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1891859278
KEVIN LANDIS CLARK
EL PASO, TX
NPI
1891859278
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: TX 4070T)
Enumeration Date
2006-12-20
Last Update Date
2007-07-08
Business Address
Dr. KEVIN LANDIS CLARK O.D.
10415 GATEWAY BLVD W
EL PASO, TX 79925-7905
Phone number: 915-592-6885
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Mailing Address
Dr. KEVIN LANDIS CLARK O.D.
11604 COLEEN WAY
EL PASO, TX 79936-6922
Phone number: 915-593-6205
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