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1346616208
KEITH ANDREW CLARKE
SAN DIEGO, CA
NPI
1346616208
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: CA 67117)
Enumeration Date
2015-08-14
Last Update Date
2016-01-26
Business Address
Mr. KEITH ANDREW CLARKE CPT, CMT
3975 5TH AVE SUITE 213
SAN DIEGO, CA 92103-3101
Phone number: 619-906-7055
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Mailing Address
Mr. KEITH ANDREW CLARKE CPT, CMT
113 W G ST # 819
SAN DIEGO, CA 92101-6096
Phone number: 619-906-7055
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