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1750534202
DONITA J CLARK
FAYETTEVILLE, AR
NPI
1750534202
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: AR 831)
Enumeration Date
2008-10-28
Last Update Date
2017-10-03
Business Address
Mrs. DONITA J CLARK R.D., L.D.
3 E APPLEBY RD STE 202
FAYETTEVILLE, AR 72703-4424
Phone number: 479-404-1140
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Mailing Address
Mrs. DONITA J CLARK R.D., L.D.
PO BOX 550
LOWELL, AR 72745
Phone number: 479-463-7775
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