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1578938841
CELINA CLARK
WYANDOTTE, MI
NPI
1578938841
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MI 5502004777)
Enumeration Date
2015-12-11
Last Update Date
2015-12-11
Business Address
-- CELINA CLARK PTA
273 RIVERBANK ST
WYANDOTTE, MI 48192-2625
Phone number: 734-286-4140
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Mailing Address
-- CELINA CLARK PTA
273 RIVERBANK ST
WYANDOTTE, MI 48192-2625
Phone number: 734-286-4140
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