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1568087039
TYLER S CLARK
NEWPORT NEWS, VA
NPI
1568087039
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: VA 2305213656)
Enumeration Date
2020-06-10
Last Update Date
2020-06-10
Business Address
TYLER S CLARK DPT
11015 WARWICK BLVD
NEWPORT NEWS, VA 23601-3225
Phone number: 757-995-1903
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Mailing Address
TYLER S CLARK DPT
5252 LYNGATE CT STE 203
BURKE, VA 22015-1673
Phone number: 703-349-2255
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