CHARLES A CLARK

CORYDON, IA
NPI1922090752
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy152W00000X Optometrist
(Licence: IA  01637)
Enumeration Date2005-08-18
Last Update Date2016-07-12
Business Address
-- CHARLES A CLARK OD
212 N FRANKLIN ST
CORYDON, IA 50060-1328
Phone number: 641-774-5819
Mailing Address
-- CHARLES A CLARK OD
212 N FRANKLIN ST PO BOX 611
CORYDON, IA 50060-1328
Phone number: 641-774-5819
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