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1003119272
CHARLES CLARK
GLENDALE, AZ
NPI
1003119272
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: AZ 7094)
Enumeration Date
2010-12-10
Last Update Date
2017-02-08
Business Address
-- CHARLES CLARK D.C.
16222 N 59TH AVE SUITE A100
GLENDALE, AZ 85306-1705
Phone number: 623-334-4000
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Mailing Address
-- CHARLES CLARK D.C.
16222 N 59TH AVE SUITE A100
GLENDALE, AZ 85306-1705
Phone number: 623-334-4000
Copy
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