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1992794879
CLAYTON BERT ALEXANDER
LA PORTE, IN
NPI
1992794879
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: IN 02001107A)
Enumeration Date
2005-10-14
Last Update Date
2020-12-08
Business Address
Dr. CLAYTON BERT ALEXANDER D.O.
125 EAST SHORE PARKWAY SUITE D
LA PORTE, IN 46350
Phone number: 219-325-0155
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Mailing Address
Dr. CLAYTON BERT ALEXANDER D.O.
125 EAST SHORE PARKWAY SUITE D
LA PORTE, IN 46350-5677
Phone number: 219-325-0155
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