ALEC COLE CLARK

DADE CITY, FL
NPI1003511072
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy106S00000X Behavior Technician
Additional Taxonomies207T00000X Neurological Surgery
(Licence: MS  T-5055)
Enumeration Date2023-03-31
Last Update Date2025-09-17
Business Address
ALEC COLE CLARK
15048 14TH ST
DADE CITY, FL 33523-2503
Phone number: 352-232-8997
Mailing Address
ALEC COLE CLARK
15048 14TH ST
DADE CITY, FL 33523-2503
Phone number: 352-232-8997
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