DIANE MARIE CLARK

PORT ORANGE, FL
NPI1306994637
Professional NameDIANE MARIE CLARK
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy111N00000X Chiropractor
(Licence: FL  CH5971)
Enumeration Date2007-01-05
Last Update Date2012-12-19
Business Address
DR. DIANE MARIE CLARK D.C.
4705 S CLYDE MORRIS BLVD
PORT ORANGE, FL 32129-4103
Phone number: 386-763-2728
Mailing Address
DR. DIANE MARIE CLARK D.C.
4705 S CLYDE MORRIS BLVD
PORT ORANGE, FL 32129-4103
Phone number: 386-763-2728
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