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1912324351
MARK CLARK
PUEBLO, CO
NPI
1912324351
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
213ES0131X Podiatrist Foot Surgery
(Licence: CO 502)
Enumeration Date
2014-03-24
Last Update Date
2014-03-24
Business Address
MARK CLARK DPM
2300 CORONADO RD
PUEBLO, CO 81003-1840
Phone number: 719-859-1901
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Mailing Address
MARK CLARK DPM
2300 CORONADO RD
PUEBLO, CO 81003-1840
Phone number: 719-859-1901
Copy
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