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1912610163
KATHRYN CLARK
ALTON, IL
NPI
1912610163
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: IL 085.010325)
Enumeration Date
2023-01-03
Last Update Date
2024-06-23
Business Address
KATHRYN CLARK PA-C
4411 ALBY ST
ALTON, IL 62002-5916
Phone number: 618-474-8052
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Mailing Address
KATHRYN CLARK PA-C
4411 ALBY ST
ALTON, IL 62002-5916
Phone number: 618-474-8052
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