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1053402883
LAVONNE D CLARK
PHOENIX, AZ
NPI
1053402883
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
111N00000X Chiropractor
(Licence: AZ 7651)
Enumeration Date
2006-09-27
Last Update Date
2007-07-09
Business Address
LAVONNE D CLARK DC
2826 W NORTHERN AVE
PHOENIX, AZ 85051-6626
Phone number: 602-995-3755
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Mailing Address
LAVONNE D CLARK DC
36247 N 17TH AVE
PHOENIX, AZ 85086-6314
Phone number: 623-580-8341
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