DANIEL AVERY CLARK 04/21/1970

AMERICAN FORK, UT
NPI1972756708
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171100000X Acupuncturist
(Licence: UT  368980-1201)
Enumeration Date2008-10-24
Last Update Date2008-10-24
Business Address
Mr. DANIEL AVERY CLARK 04/21/1970
160 N CENTER ST
AMERICAN FORK, UT 84003-1647
Phone number: 801-756-3860
Mailing Address
Mr. DANIEL AVERY CLARK 04/21/1970
160 N CENTER ST
AMERICAN FORK, UT 84003
Phone number: 801-756-3860
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