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1003936824
RONALD EARL CLARK
MESA, AZ
NPI
1003936824
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
(Licence: AZ Unlicensed)
Enumeration Date
2007-03-29
Last Update Date
2007-07-08
Business Address
Dr. RONALD EARL CLARK
3846 E DARTMOUTH ST
MESA, AZ 85205-6104
Phone number: 480-229-1722
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Mailing Address
Dr. RONALD EARL CLARK
3846 E DARTMOUTH ST
MESA, AZ 85205-6104
Phone number: 480-229-1722
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