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1134375314
STACY CLARK
OMAHA, NE
NPI
1134375314
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OK 2910)
Enumeration Date
2008-08-07
Last Update Date
2008-08-07
Business Address
-- STACY CLARK
11623 ARBOR ST
OMAHA, NE 68144-2981
Phone number: 800-334-1919
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Mailing Address
-- STACY CLARK
635 ALPINE DR
GROVE, OK 74344-2602
Phone number:
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