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1932763570
NATHAN CLARK
COPPELL, TX
NPI
1932763570
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225100000X Physical Therapist
(Licence: SC 9613)
Enumeration Date
2019-04-29
Last Update Date
2019-04-29
Business Address
NATHAN CLARK
3100 OLYMPUS BLVD STE 500
COPPELL, TX 75019-5473
Phone number: 866-221-5405
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Mailing Address
NATHAN CLARK
366 STOW CREEK RD
RUSTON, LA 71270-1643
Phone number:
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