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1427470558
GINA CLARK
THE DALLES, OR
NPI
1427470558
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Former Name
GINA SAFATY
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 60194)
Enumeration Date
2014-01-08
Last Update Date
2016-04-18
Business Address
-- GINA CLARK PT, DPT
551 LONE PINE BLVD
THE DALLES, OR 97058-9403
Phone number: 541-296-7202
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Mailing Address
-- GINA CLARK PT, DPT
5455 HIGHWAY 35
MOUNT HOOD PARKDALE, OR 97041-7744
Phone number: 503-504-1445
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