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1063988939
BRANDON K CLARK
JONESBORO, LA
NPI
1063988939
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-10-18
Last Update Date
2018-10-18
Business Address
BRANDON K CLARK
103 4TH ST
JONESBORO, LA 71251-3346
Phone number: 318-259-1500
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Mailing Address
BRANDON K CLARK
2380 MARTIN LUTHER KING JR AVE APT 7
GRAMBLING, LA 71245-2113
Phone number: 318-607-4302
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