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1033361381
KEVIN DEWITT CLARK
HOLLYWOOD, FL
NPI
1033361381
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171100000X Acupuncturist
(Licence: FL AP424)
Enumeration Date
2008-10-17
Last Update Date
2008-10-17
Business Address
-- KEVIN DEWITT CLARK AP
130 N DIXIE HWY
HOLLYWOOD, FL 33020-6704
Phone number: 954-719-4078
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Mailing Address
-- KEVIN DEWITT CLARK AP
130 N DIXIE HWY
HOLLYWOOD, FL 33020-6704
Phone number: 954-719-4078
Copy
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