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1568576718
TERESA JOAN CLARK
IOWA CITY, IA
NPI
1568576718
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: IA 01075)
Enumeration Date
2006-08-17
Last Update Date
2007-07-08
Business Address
Mrs. TERESA JOAN CLARK RD, LD
526 SOUTHGATE AVE
IOWA CITY, IA 52240-4426
Phone number: 319-354-3824
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Mailing Address
Mrs. TERESA JOAN CLARK RD, LD
9140 DEER VALLEY DR
CEDAR RAPIDS, IA 52411-8138
Phone number: 319-390-9012
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