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1952532640
GEORGIA ELLEN CLARK
INDIANAPOLIS, IN
NPI
1952532640
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: IN 18002674 A/B)
Enumeration Date
2009-07-29
Last Update Date
2009-07-29
Business Address
Dr. GEORGIA ELLEN CLARK od
40 S WEBSTER AVE
INDIANAPOLIS, IN 46219-6621
Phone number: 317-322-0529
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Mailing Address
Dr. GEORGIA ELLEN CLARK od
40 S WEBSTER AVE
INDIANAPOLIS, IN 46219-6621
Phone number: 317-322-0529
Copy
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