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1205043528
DAVID JAMES CLARK
SAINT PAUL, MN
NPI
1205043528
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225000000X Orthotic Fitter
(Licence: MN 1175)
Enumeration Date
2007-05-17
Last Update Date
2007-07-08
Business Address
-- DAVID JAMES CLARK
2200 UNIVERSITY AVE W #114
SAINT PAUL, MN 55114-1839
Phone number: 651-644-5800
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Mailing Address
-- DAVID JAMES CLARK
11424 QUINCY ST NE
BLAINE, MN 55434-2931
Phone number:
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