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1922302967
MICHELLE CLARK
SALT LAKE CITY, UT
NPI
1922302967
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: UT 7763751-4201)
Enumeration Date
2011-01-05
Last Update Date
2011-01-05
Business Address
Ms. MICHELLE CLARK OTR/L
1930 CIRCLE OF HOPE DR FL 2
SALT LAKE CITY, UT 84132-0001
Phone number: 801-587-4023
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Mailing Address
Ms. MICHELLE CLARK OTR/L
1930 CIRCLE OF HOPE DR FL 2
SALT LAKE CITY, UT 84132-0001
Phone number: 801-587-4023
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