CALEB CLARK

PORTLAND, ME
NPI1770971525
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy172M00000X Mechanotherapist
(Licence: ME  MT4787)
Enumeration Date2015-01-02
Last Update Date2015-01-02
Business Address
-- CALEB CLARK
178 MIDDLE STREET 504
PORTLAND, ME 04101
Phone number: 207-699-8483
Mailing Address
-- CALEB CLARK
163 NEAL ST APT 2L
PORTLAND, ME 04102-3358
Phone number:
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