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1609692987
HEAVEN CLARK
STATESVILLE, NC
NPI
1609692987
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
Enumeration Date
2024-12-02
Last Update Date
2024-12-14
Business Address
HEAVEN CLARK MS, OTR/L
302 W BROAD ST
STATESVILLE, NC 28677-5260
Phone number: 704-872-8579
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Mailing Address
HEAVEN CLARK MS, OTR/L
PO BOX 73
MOORESVILLE, NC 28115-0073
Phone number:
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