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1154691012
DOUGLAS WAYNE CLARKE
LAS VEGAS, NV
NPI
1154691012
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2012-01-10
Last Update Date
2012-01-10
Business Address
-- DOUGLAS WAYNE CLARKE
5523 OAKVIEW FALLS CT
LAS VEGAS, NV 89148-4657
Phone number: 702-658-0723
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Mailing Address
-- DOUGLAS WAYNE CLARKE
5523 OAKVIEW FALLS CT
LAS VEGAS, NV 89148-4657
Phone number: 702-658-0723
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