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1063072429
EDWARD CLARK
WASHINGTON, DC
NPI
1063072429
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
(Licence: DC ACTIVE)
Enumeration Date
2019-06-18
Last Update Date
2019-06-18
Business Address
EDWARD CLARK
1310 6TH ST NW
WASHINGTON, DC 20001-3495
Phone number: 202-234-7414
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Mailing Address
EDWARD CLARK
4202 58TH ADVENUE#127
BLADENSBURG, MD 20710
Phone number: 240-481-5841
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