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1952335069
JIMMY R CLARK
WEST ALLIS, WI
NPI
1952335069
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207ZP0102X Pathology, Anatomic Pathology & Clinical Pathology
(Licence: WI 29081)
Enumeration Date
2006-07-11
Last Update Date
2010-07-02
Business Address
-- JIMMY R CLARK MD
8901 WEST LINCOLN AVENUE
WEST ALLIS, WI 53227-2477
Phone number: 414-328-7950
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Mailing Address
-- JIMMY R CLARK MD
8901 WEST LINCOLN AVENUE
WEST ALLIS, WI 53227-2477
Phone number: 414-328-7950
Copy
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