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Jeffrey Paul Clark, D.C.

Chiropractor in Lake Stevens, WA. Individual provider (NPI-1).

NPI number1366417487
StatusActive
Last updated in NPPESMar 6, 2017

Details

NPI
1366417487
Entity type
Individual (NPI-1)
Name
Jeffrey Paul Clark
Credential
D.C.
Sex
Male
Sole proprietor
No
Enumeration date
Feb 22, 2006
Last updated
Mar 6, 2017

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
111N00000X ChiropractorCH00002638WAYes

Practice location

9633 Market Place
Suite #103
Lake Stevens, WA 98258

Phone 425-335-0300 · Fax 425-335-0302

Mailing address

9633 Market Place
Suite #103
Lake Stevens, WA 98258

Phone 425-335-0300 · Fax 425-335-0302

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