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1609222439
DANIEL R CLARK
PORTLAND, ME
NPI
1609222439
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: ME PT4699)
Enumeration Date
2016-05-11
Last Update Date
2018-03-17
Business Address
DANIEL R CLARK DPT
1041 BRIGHTON AVE
PORTLAND, ME 04102-1042
Phone number: 207-699-4111
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Mailing Address
DANIEL R CLARK DPT
1041 BRIGHTON AVE
PORTLAND, ME 04102-1042
Phone number: 207-699-4111
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