Gregory Clark
Gregory Clark is a Driver in Lakeland, Florida. Registered with an NPI since 2017.
- In the registry since
- 2017
Practice location Address checks out
1091 Old South DrLakeland, FL 33811
Phone: (813) 846-1181
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Driver (primary) | Taxonomy 172A00000X |
|---|
Record details
| NPI number | 1760991012 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | September 28, 2017 |
| Last updated in NPPES | July 21, 2022 |
| Mailing address | 1091 Old South Dr, Lakeland, FL 33811-2333 |
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