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1780166397
MARISA CLARK
PHOENIX, AZ
NPI
1780166397
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: ME PA5133)
Enumeration Date
2018-08-30
Last Update Date
2018-08-30
Business Address
MARISA CLARK
7540 N 19TH AVE
PHOENIX, AZ 85021-7967
Phone number: 888-873-4221
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Mailing Address
MARISA CLARK
7540 N 19TH AVE
PHOENIX, AZ 85021-7967
Phone number:
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