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1063757003
JESSICA LYNN CLARK
JEFFERSON CITY, MO
NPI
1063757003
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MO 2012027636)
Enumeration Date
2012-12-03
Last Update Date
2012-12-03
Business Address
-- JESSICA LYNN CLARK PT
1705 CHRISTY DR SUITE 200
JEFFERSON CITY, MO 65101-5195
Phone number: 573-659-5515
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Mailing Address
-- JESSICA LYNN CLARK PT
1705 CHRISTY DR SUITE 200
JEFFERSON CITY, MO 65101-5195
Phone number: 573-659-5515
Copy
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