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1033202619
SARA CLARK
SOUTH BEND, IN
NPI
1033202619
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: IN 06002650a)
Enumeration Date
2006-10-02
Last Update Date
2007-07-08
Business Address
Ms. SARA CLARK PTA
1005 N HICKORY RD
SOUTH BEND, IN 46615-3723
Phone number: 574-233-5754
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Mailing Address
Ms. SARA CLARK PTA
435 PEASHWAY ST
SOUTH BEND, IN 46617-1314
Phone number: 574-291-4720
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