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1528805561
MISA CLARK
VANCOUVER, WA
NPI
1528805561
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
Enumeration Date
2024-07-09
Last Update Date
2024-07-09
Business Address
MISA CLARK
17700 SE MILL PLAIN BLVD STE 150
VANCOUVER, WA 98683-7582
Phone number: 360-514-9383
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Mailing Address
MISA CLARK
16083 SW UPPER BOONES FERRY RD STE 300
PORTLAND, OR 97224-7736
Phone number:
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