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1982643508
LEROY S CLARK
TARZANA, CA
NPI
1982643508
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2085R0202X Radiology, Diagnostic Radiology
(Licence: CA G14247)
Enumeration Date
2006-06-06
Last Update Date
2007-11-27
Business Address
-- LEROY S CLARK M.D.
18344 CLARK STREET SUITE 101
TARZANA, CA 91356
Phone number: 818-881-9811
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Mailing Address
-- LEROY S CLARK M.D.
PO BOX 16699
IRVINE, CA 92623-6699
Phone number: 949-263-8620
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