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1962648121
RYAN CLARK
PHILADELPHIA, PA
NPI
1962648121
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: PA MA053613)
Enumeration Date
2008-12-18
Last Update Date
2008-12-18
Business Address
-- RYAN CLARK PA
5501 OLD YORK RD WILLLOWCREST BLDG., 4TH FLOOR
PHILADELPHIA, PA 19141-3018
Phone number: 215-456-1754
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Mailing Address
-- RYAN CLARK PA
101 E OLNEY AVE SUITE 400
PHILADELPHIA, PA 19120-2421
Phone number: 215-456-7000
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