PHILIP CLARK

PHOENIX, AZ
NPI1295142362
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy156FX1800X Technician/Technologist, Optician
(Licence: AZ  417)
Enumeration Date2014-07-21
Last Update Date2014-07-21
Business Address
-- PHILIP CLARK LDO
4201 N 16TH ST 160
PHOENIX, AZ 85016-5347
Phone number: 602-277-5007
Mailing Address
-- PHILIP CLARK LDO
4201 N 16TH ST 160
PHOENIX, AZ 85016-5347
Phone number: 602-277-5007
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