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1710573969
EMMALEE CLARK
LOGAN, UT
NPI
1710573969
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: UT 13444587-4201)
Enumeration Date
2020-12-11
Last Update Date
2023-06-16
Business Address
EMMALEE CLARK OTR
209 W 300 N
LOGAN, UT 84321-3809
Phone number: 435-716-8535
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Mailing Address
EMMALEE CLARK OTR
1065 S FORGOTTEN LN
PROVIDENCE, UT 84332-9319
Phone number: 435-770-5917
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