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1871046748
JONATHAN CLARK
MELBOURNE, FL
NPI
1871046748
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171100000X Acupuncturist
(Licence: FL AP1680)
Enumeration Date
2016-07-27
Last Update Date
2016-07-27
Business Address
-- JONATHAN CLARK
1803 N WICKHAM RD
MELBOURNE, FL 32935-8155
Phone number: 321-259-8250
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Mailing Address
-- JONATHAN CLARK
1803 N WICKHAM RD
MELBOURNE, FL 32935-8155
Phone number: 321-259-8250
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