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1366617243
JOEL ELLIS CLARK
WILMORE, KY
NPI
1366617243
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: KY 005026)
Enumeration Date
2008-04-23
Last Update Date
2008-04-23
Business Address
-- JOEL ELLIS CLARK P.T.
107 RABBIT TRL
WILMORE, KY 40390-1481
Phone number: 859-321-2741
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Mailing Address
-- JOEL ELLIS CLARK P.T.
107 RABBIT TRL
WILMORE, KY 40390-1481
Phone number: 859-321-2741
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