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1861705964
THEODORE JEFFREY CLARK
RENTON, WA
NPI
1861705964
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
111N00000X Chiropractor
(Licence: WA 2219)
Enumeration Date
2010-07-17
Last Update Date
2010-07-17
Business Address
-- THEODORE JEFFREY CLARK D.C.
17422 108TH AVE SE #101
RENTON, WA 98055-5400
Phone number: 425-255-0427
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Mailing Address
-- THEODORE JEFFREY CLARK D.C.
17422 108TH AVE SE 101
RENTON, WA 98055-5400
Phone number: 425-255-0427
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