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1790151256
CARLY CLARK
OSWEGO, NY
NPI
1790151256
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: NY 010006)
Enumeration Date
2015-08-18
Last Update Date
2015-08-18
Business Address
-- CARLY CLARK
159 W 1ST ST
OSWEGO, NY 13126-2045
Phone number: 315-342-9575
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Mailing Address
-- CARLY CLARK
1308 GREYMOOR WAY
BALDWINSVILLE, NY 13027-9163
Phone number: 845-492-6454
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