STEPHEN CLARK

LOS LUNAS, NM
NPI1689387805
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: NM  PTA1502)
Enumeration Date2023-01-03
Last Update Date2023-01-03
Business Address
STEPHEN CLARK
1400 MAIN ST NW STE 1&2
LOS LUNAS, NM 87031-4812
Phone number: 505-865-4368
Mailing Address
STEPHEN CLARK
2401 CABEZON BLVD SE STE 102
RIO RANCHO, NM 87124-1513
Phone number:
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