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1417905472
DAVE LOREN CLARK
SPOKANE, WA
NPI
1417905472
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2251P0200X Physical Therapist, Pediatrics
(Licence: WA PT00003891)
Enumeration Date
2006-05-04
Last Update Date
2007-07-08
Business Address
-- DAVE LOREN CLARK PT
711 S COWLEY ST
SPOKANE, WA 99202-1330
Phone number: 509-473-6079
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Mailing Address
-- DAVE LOREN CLARK PT
6507 S WOODLAND CT
SPOKANE, WA 99224-8488
Phone number: 509-448-0359
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