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Individual

JOSHUA LEE CLARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MSPO

Contact information

Practice address
3601 S 6TH AVE, TUCSON, AZ 85723-0001
(520) 792-1450
Mailing address
11048 N CLOUD VIEW PL, ORO VALLEY, AZ 85737-7070
(707) 292-4089

Taxonomy

Speciality
Code
Description
License number
State
224P00000X
Prosthetist
Primary
CPO03984

Other

Enumeration date
10/01/2024
Last updated
10/01/2024
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