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1508584707
DONALD CLARK
HENRICO, VA
NPI
1508584707
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: VA 2305215260)
Enumeration Date
2022-08-15
Last Update Date
2022-08-19
Business Address
Dr. DONALD CLARK
1340 GASKINS RD UNIT 12
HENRICO, VA 23238-4919
Phone number: 804-747-4417
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Mailing Address
Dr. DONALD CLARK
9311 VENETIAN WAY
RICHMOND, VA 23229-6020
Phone number: 509-554-2530
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