Individual
RAYMOND GEORGE CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.C.
Contact information
Practice address
1306 23RD ST S, FARGO, ND 58103-3707
(701) 235-1360
(701) 235-1360
Mailing address
1306 23RD ST S, FARGO, ND 58103-3707
(701) 235-1360
(701) 235-1360
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
421
ND
Other
Enumeration date
09/20/2006
Last updated
07/08/2007
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