Individual
MRS. MARY JO CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
2691 HIGHWAY 62 412, HIGHLAND, AR 72542-9479
(870) 856-3283
(870) 856-2663
Mailing address
2691 HIGHWAY 62 412, HIGHLAND, AR 72542-9479
(870) 856-3283
(870) 856-2663
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
211
AR
Other
Enumeration date
08/31/2011
Last updated
08/31/2011
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