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1023313640
SUSAN L CLARK
GRAND RAPIDS, MI
NPI
1023313640
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MI 5502000487)
Enumeration Date
2011-01-12
Last Update Date
2011-01-12
Business Address
-- SUSAN L CLARK associates degree
3019 COIT AVE NE
GRAND RAPIDS, MI 49505-3376
Phone number: 616-365-7761
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Mailing Address
-- SUSAN L CLARK associates degree
3019 COIT AVE NE
GRAND RAPIDS, MI 49505-3376
Phone number: 616-365-7761
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