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1811904378
LISA R CLARK
CHARLOTTE, NC
NPI
1811904378
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NC 9754)
Enumeration Date
2006-08-01
Last Update Date
2007-07-08
Business Address
-- LISA R CLARK PT
101 E WT HARRIS BLVD CUITE 300
CHARLOTTE, NC 28262-3485
Phone number: 704-548-5780
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Mailing Address
-- LISA R CLARK PT
1100 BLYTHE BLVD
CHARLOTTE, NC 28203-5814
Phone number: 704-355-4370
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