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1679011738
AMANDA CLARK
CORALVILLE, IA
NPI
1679011738
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2251P0200X Physical Therapist, Pediatrics
(Licence: IA 085170)
Enumeration Date
2017-02-08
Last Update Date
2017-02-08
Business Address
-- AMANDA CLARK DPT
2451 CORAL CT STE 1
CORALVILLE, IA 52241-2837
Phone number: 319-853-0596
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Mailing Address
-- AMANDA CLARK DPT
2451 CORAL CT STE 1
CORALVILLE, IA 52241-2837
Phone number: 319-853-0596
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