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1124285069
MARY SUSAN CLARK
STAFFORD, VA
NPI
1124285069
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: VA 0119003184)
Enumeration Date
2008-05-19
Last Update Date
2008-05-19
Business Address
MRS. MARY SUSAN CLARK OTR/L
46 MILLBROOK RD
STAFFORD, VA 22554-5657
Phone number: 540-226-7996
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Mailing Address
MRS. MARY SUSAN CLARK OTR/L
46 MILLBROOK RD
STAFFORD, VA 22554-5657
Phone number: 540-226-7996
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