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1447531009
CHAMP MICHAEL CLARK
THE WOODLANDS, TX
NPI
1447531009
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1208709)
Enumeration Date
2011-09-08
Last Update Date
2011-09-08
Business Address
Mr. CHAMP MICHAEL CLARK D.P.T, PT, CSCS
17350 ST LUKES WAY SUITE 100
THE WOODLANDS, TX 77384-4100
Phone number: 936-321-0333
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Mailing Address
Mr. CHAMP MICHAEL CLARK D.P.T, PT, CSCS
8 S CYPRESS PINE DR
SPRING, TX 77381-2811
Phone number: 713-819-9350
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