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1437274982
LORI ANN CLARK
ANSTED, WV
NPI
1437274982
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: WV 000599)
Enumeration Date
2007-03-20
Last Update Date
2007-07-08
Business Address
MISS LORI ANN CLARK
OLD MIDLAND TRAIL-RT. 60
ANSTED, WV 25812
Phone number: 304-658-5271
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Mailing Address
MISS LORI ANN CLARK
HC 60 BOX 15A RUSSELLVILLE ROAD
NALLEN, WV 26680-9501
Phone number: 304-438-6795
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