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1063121374
CALEB CLARK
MONROE, LA
NPI
1063121374
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2022-11-16
Last Update Date
2022-11-16
Business Address
CALEB CLARK
4306 S GRAND ST
MONROE, LA 71202-6322
Phone number: 318-459-6795
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Mailing Address
CALEB CLARK
1000 CHINABERRY DR
BOSSIER CITY, LA 71111-2442
Phone number:
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