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1063194561
EDGARDO CLARK
RANDOLPH, MA
NPI
1063194561
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
(Licence: MA S37922805)
Enumeration Date
2023-08-03
Last Update Date
2023-08-03
Business Address
EDGARDO CLARK
24 HIMOOR CIR
RANDOLPH, MA 02368-2429
Phone number: 508-243-4379
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Mailing Address
EDGARDO CLARK
24 HIMOOR CIR
RANDOLPH, MA 02368-2429
Phone number: 508-243-4379
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