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1053852608
GREGG P CLARK
WILMINGTON, DE
NPI
1053852608
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171WH0202X Contractor, Home Modifications
(Licence: DE 1990063352)
Enumeration Date
2017-03-15
Last Update Date
2017-03-15
Business Address
-- GREGG P CLARK
113 SMYRNA AVE
WILMINGTON, DE 19809-1234
Phone number: 302-218-1137
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Mailing Address
-- GREGG P CLARK
113 SMYRNA AVE
WILMINGTON, DE 19809-1234
Phone number: 302-218-1137
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