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1902962939
GARY BRUCE CLARK
BOULDER, CO
NPI
1902962939
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
208D00000X General Practice
(Licence: CO 20926)
Enumeration Date
2006-12-27
Last Update Date
2007-07-08
Business Address
Dr. GARY BRUCE CLARK MD
1790 30TH ST SUITE 230
BOULDER, CO 80301-1022
Phone number: 303-444-5131
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Mailing Address
Dr. GARY BRUCE CLARK MD
12541 GROVE ST
BROOMFIELD, CO 80020-5869
Phone number: 720-887-5726
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