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1457612335
ELLEN E CLARKE
JACKSON, MS
NPI
1457612335
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MS PT5084)
Enumeration Date
2012-06-06
Last Update Date
2014-03-25
Business Address
-- ELLEN E CLARKE PT
1325 E FORTIFICATION ST
JACKSON, MS 39202-2442
Phone number: 601-354-4488
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Mailing Address
-- ELLEN E CLARKE PT
1325 E FORTIFICATION ST
JACKSON, MS 39202-2442
Phone number: 601-354-4488
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