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1073518122
LEROY S. CLARK
HERMITAGE, PA
NPI
1073518122
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: PA PT007065L)
Enumeration Date
2005-06-16
Last Update Date
2007-11-07
Business Address
LEROY S. CLARK PT
3120 HIGHLAND RD
HERMITAGE, PA 16148-4512
Phone number: 724-342-2663
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Mailing Address
LEROY S. CLARK PT
3120 HIGHLAND RD
HERMITAGE, PA 16148-4512
Phone number: 724-342-2663
Copy
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