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1396467874
RYAN ALEXANDER CLARK
OWENSBORO, KY
NPI
1396467874
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: KY TP2022078)
Enumeration Date
2022-09-13
Last Update Date
2022-09-13
Business Address
RYAN ALEXANDER CLARK DPT
3515 FREDERICA ST
OWENSBORO, KY 42301-6902
Phone number: 270-684-7856
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Mailing Address
RYAN ALEXANDER CLARK DPT
3515 FREDERICA ST
OWENSBORO, KY 42301-6902
Phone number: 270-684-7856
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