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1730118381
WESLEY ETHAN CLARK
DESOTO, TX
NPI
1730118381
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: TX 1142982)
Enumeration Date
2006-07-03
Last Update Date
2007-07-08
Business Address
-- WESLEY ETHAN CLARK PT
931 YORK DR SUITE A
DESOTO, TX 75115-2043
Phone number: 972-296-6645
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Mailing Address
-- WESLEY ETHAN CLARK PT
931 YORK DR SUITE A
DESOTO, TX 75115-2043
Phone number: 972-296-6645
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