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1801374178
DANIELLE NICOLE CLARK
ALLEN, TX
NPI
1801374178
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Former Name
DANIELLE NICOLE FULLER
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: TX 2138830)
Enumeration Date
2018-07-30
Last Update Date
2018-07-30
Business Address
DANIELLE NICOLE CLARK
915 W EXCHANGE PKWY STE 100
ALLEN, TX 75013-7018
Phone number: 214-547-1571
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Mailing Address
DANIELLE NICOLE CLARK
361 ROLLINGRIDGE LN
GARLAND, TX 75043-2972
Phone number: 940-453-5635
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