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1023773447
MACY FRASER CLARK
SAN CLEMENTE, CA
NPI
1023773447
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: CA 10258)
Enumeration Date
2021-11-01
Last Update Date
2021-11-01
Business Address
MACY FRASER CLARK OTR
1000 CALLE AMANECER
SAN CLEMENTE, CA 92673-6214
Phone number: 949-498-5100
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Mailing Address
MACY FRASER CLARK OTR
20740 ELFIN FOREST RD
ESCONDIDO, CA 92029-3313
Phone number: 760-504-5308
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