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1932142056
THOMAS CLARK
BALTIMORE, MD
NPI
1932142056
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: MD C0000159)
Enumeration Date
2006-06-14
Last Update Date
2013-05-09
Business Address
-- THOMAS CLARK PA
4924 CAMPBELL BLVD
BALTIMORE, MD 21236-5908
Phone number: 443-442-2300
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Mailing Address
-- THOMAS CLARK PA
3100 WYMAN PARK DR
BALTIMORE, MD 21211-2803
Phone number:
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