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1922068907
JEFFREY WAYNE CLARK
TEMPLE, TX
NPI
1922068907
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2084N0400X Psychiatry & Neurology, Neurology
(Licence: TX H7967)
Enumeration Date
2006-03-24
Last Update Date
2020-04-10
Business Address
Dr. JEFFREY WAYNE CLARK D.O.
2401 S 31ST ST
TEMPLE, TX 76508-0001
Phone number: 254-724-2111
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Mailing Address
Dr. JEFFREY WAYNE CLARK D.O.
PO BOX 844658
DALLAS, TX 75284-4658
Phone number: 254-724-2111
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