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1407987019
RANDAL MARK CLARK
KENT, WA
NPI
1407987019
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
111N00000X Chiropractor
(Licence: WA 1870)
Enumeration Date
2007-03-07
Last Update Date
2007-07-08
Business Address
Dr. RANDAL MARK CLARK D.C.
22711 43RD AVE S
KENT, WA 98032-8467
Phone number: 253-373-9902
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Mailing Address
Dr. RANDAL MARK CLARK D.C.
22711 43RD AVE S
KENT, WA 98032-8467
Phone number: 253-373-9902
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