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1902812829
DERREL W CLARKE
LOGAN, UT
NPI
1902812829
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208000000X Pediatrics
(Licence: UT 1863221205)
Enumeration Date
2006-07-31
Last Update Date
2008-10-14
Business Address
-- DERREL W CLARKE MD
1350 N 500 E
LOGAN, UT 84341-2400
Phone number: 435-792-1940
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Mailing Address
-- DERREL W CLARKE MD
1350 N 500 E
LOGAN, UT 84341-2400
Phone number: 435-792-1940
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