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Individual
MARK DANIEL CLEVEN
Active
Individual
MARK DANIEL CLEVEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, ATC
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT00003333
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
119067
LABOR AND INDUSTRY
WA
Enumeration date
08/28/2006
Last updated
02/25/2008
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