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Individual

DUSTIN J CLARK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.C

Contact information

Practice address
601 S RACE ST, PORT ANGELES, WA 98362-6400
(360) 452-7636
Mailing address
601 S RACE ST, PORT ANGELES, WA 98362-6400
(360) 452-7636

Taxonomy

Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
CHIR.CH.60465702
WA

Other

Enumeration date
05/19/2014
Last updated
05/19/2014
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