Organization
GENE CLARK HEARING AID SERVICE
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. MERLE EUGENE CLARK (OWNER)
(217) 254-8678
Entity
Organization
Contact information
Practice address
208 WABASH, MATTOON, IL 61938
(217) 254-8678
Mailing address
208 WABASH, MATTOON, IL 61938
(217) 254-8678
(217) 258-8182
Taxonomy
Speciality
Code
Description
License number
State
332S00000X
Hearing Aid Equipment
Primary
0078
IL
Other
Enumeration date
08/21/2009
Last updated
08/21/2009
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