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1003630666
DIANA STEPHANIE CLARK
AZUSA, CA
NPI
1003630666
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Former Name
DIANA STEPHANIE ORELLANA
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
174N00000X Lactation Consultant, Non-RN
(Licence: CA 11137880)
Enumeration Date
2024-11-11
Last Update Date
2024-11-11
Business Address
DIANA STEPHANIE CLARK IBCLC
28 MOUNTAIN LAUREL WAY
AZUSA, CA 91702-6264
Phone number: 626-222-4614
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Mailing Address
DIANA STEPHANIE CLARK IBCLC
28 MOUNTAIN LAUREL WAY
AZUSA, CA 91702-6264
Phone number: 626-222-4614
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