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1285189704
BENJAMIN CLARK
SHALLOTTE, NC
NPI
1285189704
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NC 16530)
Enumeration Date
2016-08-25
Last Update Date
2016-08-25
Business Address
-- BENJAMIN CLARK
4501 MAIN ST STE 5
SHALLOTTE, NC 28470-4585
Phone number: 910-755-5863
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Mailing Address
-- BENJAMIN CLARK
4501 MAIN ST STE 5
SHALLOTTE, NC 28470-4585
Phone number:
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