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1538739172
MICHAEL ANTHONY CLARK
SAN ANTONIO, TX
NPI
1538739172
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225700000X Massage Therapist
(Licence: TX MT134239)
Enumeration Date
2021-06-27
Last Update Date
2021-06-27
Business Address
MICHAEL ANTHONY CLARK LMT
2510 NACOGDOCHES RD
SAN ANTONIO, TX 78217-6025
Phone number: 210-829-8830
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Mailing Address
MICHAEL ANTHONY CLARK LMT
PO BOX 201911
SAN ANTONIO, TX 78220-8911
Phone number: 757-968-0264
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