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Faron Clark
NPI 1316585680 · on the registry since 2019 · sole proprietor
Practice
- Address
- 205 N Reed St
Robinson, IL 62454 - Phone
- (618) 554-1574
Registry record
- Primary taxonomy
- 225200000X
225200000X
- Licence states on file
- IN
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2019-12-17
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Illinois