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1487626172
MICHAEL E CLARK
TAMPA, FL
NPI
1487626172
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103TH0100X Psychologist, Health Service
(Licence: FL PY3564)
Enumeration Date
2006-02-06
Last Update Date
2007-07-12
Business Address
Dr. MICHAEL E CLARK Ph.D.
13000 BRUCE B DOWNS BLVD PAIN PROGRAM (2CW)
TAMPA, FL 33612-4745
Phone number: 813-972-2000
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Mailing Address
Dr. MICHAEL E CLARK Ph.D.
13000 BRUCE B DOWNS BLVD PAIN PROGRAM (2CW)
TAMPA, FL 33612-4745
Phone number: 813-972-2000
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