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1922525096
TROY MARK CLARK
TACOMA, WA
NPI
1922525096
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: TX 325973)
Enumeration Date
2017-08-29
Last Update Date
2017-08-29
Business Address
TROY MARK CLARK
MADIAGAN ARMY MEDICAL CENTER, 9040 JACKSON AVE, ATTN: MCHJ-CLQ-C
TACOMA, WA 98431-1100
Phone number: 209-996-8769
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Mailing Address
TROY MARK CLARK
MAMC WINDOW SERVICE 9040 JACKSON AVE.
TACOMA, WA 98431-1100
Phone number:
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