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1497434740
ALICIA MARY CLARK
FORT MYERS, FL
NPI
1497434740
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Former Name
ALICIA MARY RUBINO
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
235Z00000X Speech-Language Pathologist,
(Licence: FL SA3674)
Enumeration Date
2023-07-13
Last Update Date
2023-07-13
Business Address
ALICIA MARY CLARK
15800 BEACH WALK BLVD STE 1001
FORT MYERS, FL 33908-3388
Phone number: 239-349-3769
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Mailing Address
ALICIA MARY CLARK
14721 EDEN ST
FORT MYERS, FL 33908-1642
Phone number: 239-834-7245
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