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1730423278
WILLIAM DOUGLAS CLARK
MCDONOUGH, GA
NPI
1730423278
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
172M00000X Mechanotherapist
Enumeration Date
2012-11-21
Last Update Date
2012-11-21
Business Address
Mr. WILLIAM DOUGLAS CLARK
1617 HIGHWAY 20 W
MCDONOUGH, GA 30253-7311
Phone number: 770-961-1947
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Mailing Address
Mr. WILLIAM DOUGLAS CLARK
PO BOX 254
MORROW, GA 30260-0254
Phone number: 770-961-1947
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