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1154665669
DEBRA MAE CLARK
PITTSBURG, KS
NPI
1154665669
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: KS 14-01411)
Enumeration Date
2012-11-21
Last Update Date
2012-11-21
Business Address
Mrs. DEBRA MAE CLARK PTA
1502 E CENTENNIAL DR
PITTSBURG, KS 66762-6718
Phone number: 620-235-0020
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Mailing Address
Mrs. DEBRA MAE CLARK PTA
242 S 160TH ST
GIRARD, KS 66743-9487
Phone number: 316-250-4532
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