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1376742841
LISA M CLARK
TACOMA, WA
NPI
1376742841
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: WA MA00024438)
Enumeration Date
2007-07-15
Last Update Date
2010-03-15
Business Address
Miss LISA M CLARK LMP
4308 N 26TH ST
TACOMA, WA 98407-5211
Phone number: 253-820-1303
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Mailing Address
Miss LISA M CLARK LMP
PO BOX 7011
TACOMA, WA 98417-0011
Phone number: 253-820-1303
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