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1144968785
DIANNE CLARK
SAN JOSE, CA
NPI
1144968785
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: CA 74835)
Enumeration Date
2022-05-24
Last Update Date
2022-05-24
Business Address
DIANNE CLARK
360 KIELY BLVD
SAN JOSE, CA 95129-1347
Phone number: 408-693-7256
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Mailing Address
DIANNE CLARK
PO BOX 54375
SAN JOSE, CA 95154-0375
Phone number: 408-693-7256
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