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1629358395
GREG CLARK
JONESBORO, AR
NPI
1629358395
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: FL 22783)
Enumeration Date
2011-08-25
Last Update Date
2011-08-25
Business Address
-- GREG CLARK PTA
2105 BRISTOL DR
JONESBORO, AR 72401-8505
Phone number: 870-405-9551
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Mailing Address
-- GREG CLARK PTA
2105 BRISTOL DR
JONESBORO, AR 72401-8505
Phone number:
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