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1043293681
CHARLES S CLARK
PHOENIX, AZ
NPI
1043293681
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: AZ 591)
Enumeration Date
2005-11-29
Last Update Date
2011-03-21
Business Address
-- CHARLES S CLARK P.T.
5777 E MAYO BLVD
PHOENIX, AZ 85054-4502
Phone number: 480-301-8000
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Mailing Address
-- CHARLES S CLARK P.T.
5777 E MAYO BLVD
PHOENIX, AZ 85054-4502
Phone number: 480-301-8000
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