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1013438258
DANA CLARK
TALLAHASSEE, FL
NPI
1013438258
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: FL PTAT27624)
Enumeration Date
2017-06-28
Last Update Date
2017-06-28
Business Address
DANA CLARK
1650 PHILLIPS RD
TALLAHASSEE, FL 32308-5304
Phone number: 850-942-9868
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Mailing Address
DANA CLARK
22292 NE LEE FARM RD
BLOUNTSTOWN, FL 32424-9636
Phone number: 1850-643-7638
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