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1912988635
ANDREW ROBERT CLARK
BRADENTON, FL
NPI
1912988635
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: FL OS9370)
Enumeration Date
2005-11-09
Last Update Date
2014-05-15
Business Address
-- ANDREW ROBERT CLARK D.O.
5123 4TH AVENUE CIR E
BRADENTON, FL 34208-5620
Phone number: 941-744-5510
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Mailing Address
-- ANDREW ROBERT CLARK D.O.
5123 4TH AVENUE CIR E
BRADENTON, FL 34208-5620
Phone number: 941-744-5510
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