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1760509889
ELAINE CLARK
SYRACUSE, NY
NPI
1760509889
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: NY 003129)
Enumeration Date
2007-03-23
Last Update Date
2007-07-08
Business Address
-- ELAINE CLARK
813 FAY RD
SYRACUSE, NY 13219-3009
Phone number: 315-488-2831
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Mailing Address
-- ELAINE CLARK
PO BOX 266
ELBRIDGE, NY 13060-0266
Phone number:
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