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1053888925
THEODORE RONALD CLARK
MIAMI, FL
NPI
1053888925
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2018-10-30
Last Update Date
2018-10-30
Business Address
Mr. THEODORE RONALD CLARK
1312 NW 96TH ST
MIAMI, FL 33147-2618
Phone number: 786-320-0262
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Mailing Address
Mr. THEODORE RONALD CLARK
1312 NW 96TH ST
MIAMI, FL 33147-2618
Phone number: 786-320-0262
Copy
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