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Individual

JAY CHRISTIAN CLARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
1 JARRETT WHITE RD, TRIPLER AMC, HI 96859-5001
(888) 683-2778
Mailing address
1 JARRETT WHITE RD, TRIPLER AMC, HI 96859-5001

Taxonomy

Speciality
Code
Description
License number
State
171000000X
Military Health Care Provider
DOSR-617
HI
171000000X
Military Health Care Provider
Primary

Other

Enumeration date
04/20/2023
Last updated
02/20/2024
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