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1376159616
JESSICA LEE CLARK
PRESCOTT, AZ
NPI
1376159616
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: AZ 008971)
Enumeration Date
2020-09-22
Last Update Date
2020-09-22
Business Address
Dr. JESSICA LEE CLARK PT, DPT
1030 SCOTT DR
PRESCOTT, AZ 86301-4737
Phone number: 928-778-2450
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Mailing Address
Dr. JESSICA LEE CLARK PT, DPT
1030 SCOTT DR
PRESCOTT, AZ 86301-4737
Phone number: 607-316-9863
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