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1063740280
JAMES RICHARD CLARK
PRINEVILLE, OR
NPI
1063740280
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YP2500X Counselor, Professional
(Licence: OR C1913)
Enumeration Date
2009-11-28
Last Update Date
2009-11-28
Business Address
Mr. JAMES RICHARD CLARK LPC
534 NE BROOKSTONE DR
PRINEVILLE, OR 97754-3221
Phone number: 541-678-3342
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Mailing Address
Mr. JAMES RICHARD CLARK LPC
PO BOX 1211
PRINEVILLE, OR 97754-0675
Phone number: 541-678-3342
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