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Russell Clark
NPI 1952554420 · on the registry since 2008 · sole proprietor
Practice
- Address
- 1412 Liatris Way
Beaumont, CA 92223 - Phone
- (951) 769-1241
Registry record
- Primary taxonomy
- General Acute Care Hospital
282N00000X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2008-10-28
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 California