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MR. JAMES THOMAS CLARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DME

Contact information

Practice address
11460 OLD MILL RD, SPENCER, OH 44275-9582
(330) 648-1515
Mailing address
11460 OLD MILL ROAD, PO BOX 294, SPENCER, OH 44275
(330) 648-1515

Taxonomy

Speciality
Code
Description
License number
State
171WH0202X
Home Modifications Contractor
Primary

Other

Enumeration date
11/09/2017
Last updated
03/17/2018
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