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1902908569
RICHARD DAN CLARK
SCOTTSBLUFF, NE
NPI
1902908569
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NE 12039)
Enumeration Date
2006-09-03
Last Update Date
2011-11-14
Business Address
Dr. RICHARD DAN CLARK MD
3011 AVENUE B
SCOTTSBLUFF, NE 69361-4372
Phone number: 308-632-2215
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Mailing Address
Dr. RICHARD DAN CLARK MD
1720 BEVERLY BLVD P.O. BOX 531
GERING, NE 69341-1946
Phone number: 308-436-5548
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