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1396190559
DACY JAEL CLARK
ALBUQUERQUE, NM
NPI
1396190559
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Professional Name
JAEL CLARK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NM 4693)
Enumeration Date
2016-04-25
Last Update Date
2016-05-24
Business Address
Mrs. DACY JAEL CLARK PT, DPT
6100 SEAGULL ST NE STE 102
ALBUQUERQUE, NM 87109-2500
Phone number: 505-823-2411
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Mailing Address
Mrs. DACY JAEL CLARK PT, DPT
6100 SEAGULL ST NE STE 102
ALBUQUERQUE, NM 87109-2500
Phone number: 505-823-2411
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