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1396894267
RUSSELL LIONEL CLARKE
WEST JORDAN, UT
NPI
1396894267
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: UT 279763-2401)
Enumeration Date
2007-01-09
Last Update Date
2007-07-08
Business Address
Mr. RUSSELL LIONEL CLARKE P.T., C.H.T.
1577 W 7000 S 100
WEST JORDAN, UT 84084-7492
Phone number: 801-566-6301
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Mailing Address
Mr. RUSSELL LIONEL CLARKE P.T., C.H.T.
9720 S 1300 E W200
SANDY, UT 84094-3712
Phone number: 801-572-0690
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