RANDY CLARK

SALT LAKE CITY, UT
NPI1932494291
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225100000X Physical Therapist
(Licence: UT  264514-2401)
Enumeration Date2011-06-15
Last Update Date2011-06-15
Business Address
-- RANDY CLARK
1952 E 7000 S
SALT LAKE CITY, UT 84121-6877
Phone number: 801-942-3311
Mailing Address
-- RANDY CLARK
PO BOX 711185
SALT LAKE CITY, UT 84171-1185
Phone number: 801-942-3311
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