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1699983445
JON ALLEN CLARK
DALLAS, TX
NPI
1699983445
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1135218)
Enumeration Date
2007-05-17
Last Update Date
2007-07-08
Business Address
Mr. JON ALLEN CLARK PT
2535 LONE STAR DR
DALLAS, TX 75212-6313
Phone number: 214-467-9787
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Mailing Address
Mr. JON ALLEN CLARK PT
613 CATALPA RD
FORT WORTH, TX 76131-3537
Phone number: 682-286-9449
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