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1255943874
CLARKE B ANTONIO
PHOENIX, AZ
NPI
1255943874
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: AZ 31402)
Enumeration Date
2020-08-17
Last Update Date
2020-08-17
Business Address
CLARKE B ANTONIO PT
11225 N 28TH DR # SRF100
PHOENIX, AZ 85029-5606
Phone number: 602-866-0066
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Mailing Address
CLARKE B ANTONIO PT
15410 S MOUNTAIN PKWY
PHOENIX, AZ 85044-6691
Phone number: 480-706-1161
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