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1063914109
MICHELLE B CLARK
OMAHA, NE
NPI
1063914109
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Former Name
MICHELLE M BERCH
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2251P0200X Physical Therapist, Pediatrics
(Licence: NE 3652)
Enumeration Date
2018-03-05
Last Update Date
2018-03-05
Business Address
MICHELLE B CLARK
17809 PIERCE PLZ
OMAHA, NE 68130-1035
Phone number: 402-955-8355
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Mailing Address
MICHELLE B CLARK
8200 DODGE ST
OMAHA, NE 68114-4113
Phone number: 402-955-5400
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