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1144050113
KELSEE CLARK
CONRAD, MT
NPI
1144050113
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MT 4442)
Enumeration Date
2024-08-05
Last Update Date
2024-08-05
Business Address
KELSEE CLARK PTA
805 SUNSET BLVD
CONRAD, MT 59425-1717
Phone number: 406-271-3211
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Mailing Address
KELSEE CLARK PTA
723 1ST AVE NW
CONRAD, MT 59425-1725
Phone number: 406-799-0223
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