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1528266244
MARY ANNETTE CLARK
PORTLAND, OR
NPI
1528266244
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: OR 5410)
Enumeration Date
2007-07-03
Last Update Date
2007-07-08
Business Address
MS. MARY ANNETTE CLARK PT, DPT
3710 SW US VETERANS HOSPITAL RD
PORTLAND, OR 97239-2964
Phone number: 501-247-7710
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Mailing Address
MS. MARY ANNETTE CLARK PT, DPT
1608 WINDCHIME AVE
SHERWOOD, AR 72120-4823
Phone number: 501-247-7710
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