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1235626110
JOSEPH LOUIS CLARK
JACKSONVILLE, FL
NPI
1235626110
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
208100000X Physical Medicine & Rehabilitation
(Licence: FL PTA26711)
Enumeration Date
2018-04-17
Last Update Date
2018-04-17
Business Address
JOSEPH LOUIS CLARK
11565 HARTS RD
JACKSONVILLE, FL 32218-3777
Phone number: 904-751-1834
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Mailing Address
JOSEPH LOUIS CLARK
11565 HARTS RD
JACKSONVILLE, FL 32218-3777
Phone number: 904-751-1834
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