MR. John R Clark

NPI #1548485097 in Oswego, New York

Provider Information

NPI Number
1548485097
Entity Type
Individual
Name
MR. John R Clark
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Licensed Practical Nurse
Enumeration Date
Apr 17, 2007
Last Updated
Jul 9, 2007

Practice Location

Address
64 E MOHAWK ST
City
Oswego
ZIP Code
13126-2725
Phone
(315) 342-2864

Specialties & Taxonomy Codes

Specialty
Licensed Practical Nurse

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