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1043784747
LISA MARIE CLARK
CARMEL, IN
NPI
1043784747
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
224Z00000X Occupational Therapy Assistant
(Licence: IN 32003278A)
Enumeration Date
2019-01-15
Last Update Date
2019-01-15
Business Address
LISA MARIE CLARK
118 MEDICAL DR
CARMEL, IN 46032-3323
Phone number: 812-332-2265
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Mailing Address
LISA MARIE CLARK
1228 COLINBROOK CIR
GREENWOOD, IN 46143-3608
Phone number: 513-265-2845
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