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1760589550
TERALEA M CLARK
LAKE WORTH, FL
NPI
1760589550
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
237700000X Hearing Instrument Specialist
(Licence: FL AS2652)
Enumeration Date
2006-09-20
Last Update Date
2008-10-15
Business Address
-- TERALEA M CLARK
7701 LAKE WORTH RD
LAKE WORTH, FL 33467-2536
Phone number: 561-439-8821
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Mailing Address
-- TERALEA M CLARK
PO BOX 406153
ATLANTA, GA 30384-1876
Phone number: 561-478-8770
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