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1104393834
WAREN G CLARK
SHERMAN, TX
NPI
1104393834
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
Additional Taxonomies
347C00000X Private Vehicle
Enumeration Date
2018-10-31
Last Update Date
2018-10-31
Business Address
Mr. WAREN G CLARK
3301 N FM 1417 APT 1414
SHERMAN, TX 75092-3468
Phone number: 469-975-9535
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Mailing Address
Mr. WAREN G CLARK
3301 N FM 1417 APT 1414
SHERMAN, TX 75092-3468
Phone number: 469-975-9535
Copy
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