Individual
DOROTHY M CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
389 1/2 S. MAIN ST, OBERLIN, OH 44074
(440) 810-0785
Mailing address
389 1/2 S. MAIN ST, OBERLIN, OH 44074
(440) 810-0785
Taxonomy
Speciality
Code
Description
License number
State
172A00000X
Driver
Primary
—
OH
Other
Enumeration date
09/30/2021
Last updated
09/30/2021
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