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1316388630
JACKLYN M CLARK
TACOMA, WA
NPI
1316388630
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225700000X Massage Therapist
(Licence: WA MA 60364416)
Enumeration Date
2013-07-15
Last Update Date
2013-07-15
Business Address
-- JACKLYN M CLARK LMP
7047 S D ST
TACOMA, WA 98408-6131
Phone number: 253-471-8986
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Mailing Address
-- JACKLYN M CLARK LMP
20110 75TH AVENUE CT E
SPANAWAY, WA 98387-3002
Phone number: 719-205-6450
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