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1902211634
ANTHONY CLARK
SAN DIEGO, CA
NPI
1902211634
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
1710I1002X Military Health Care Provider, Independent Duty Corpsman
Enumeration Date
2014-06-20
Last Update Date
2014-06-24
Business Address
-- ANTHONY CLARK
2424 RENDOVA RD
SAN DIEGO, CA 92155-5041
Phone number: 619-537-3941
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Mailing Address
-- ANTHONY CLARK
2931 GABRIELSON AVE
SAN DIEGO, CA 92111-5814
Phone number: 760-401-7807
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