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1003106501
ALEXIS CLARK
POMPANO BEACH, FL
NPI
1003106501
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
222Q00000X Developmental Therapist
Enumeration Date
2011-04-18
Last Update Date
2011-04-18
Business Address
-- ALEXIS CLARK B.A
2708 NE 14TH ST APT 5
POMPANO BEACH, FL 33062-3564
Phone number: 888-880-9270
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Mailing Address
-- ALEXIS CLARK B.A
2708 NE 14TH STREET, SUITE 5
POMPANO BEACH, FL 33062
Phone number:
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