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Individual

MR. JUDE JOSEPH CLARK II

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
P.T.

Contact information

Practice address
4416 RUE DE LA HBR, KENNER, LA 70065-1143
(504) 220-4380
Mailing address
4416 RUE DE LA HBR, KENNER, LA 70065-1143
(504) 220-4380

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
01390
LA

Other

Enumeration date
03/05/2007
Last updated
07/08/2007
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