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1912917949
MARY JOHANNA CLARK
GRAND JUNCTION, CO
NPI
1912917949
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: CO 29800)
Enumeration Date
2006-08-09
Last Update Date
2007-07-08
Business Address
Dr. MARY JOHANNA CLARK DO
2121 NORTH AVE
GRAND JUNCTION, CO 81501-6428
Phone number: 970-242-0731
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Mailing Address
Dr. MARY JOHANNA CLARK DO
2121 NORTH AVE
GRAND JUNCTION, CO 81501-6428
Phone number: 970-242-0731
Copy
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