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1164984134
DAVID NICHOLAS CLARK
CENTRALIA, WA
NPI
1164984134
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: WA PT60865775)
Enumeration Date
2019-04-01
Last Update Date
2019-04-01
Business Address
DAVID NICHOLAS CLARK PT,DPT
1010 S SCHEUBER RD
CENTRALIA, WA 98531-8892
Phone number: 360-480-1506
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Mailing Address
DAVID NICHOLAS CLARK PT,DPT
800 ALTA ST SW APT D202
OLYMPIA, WA 98502-6103
Phone number: 503-707-9541
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