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1104676790
STACY JANE CLARK
STOCKTON, CA
NPI
1104676790
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2024-03-25
Last Update Date
2024-03-25
Business Address
STACY JANE CLARK
2453 GRAND CANAL BLVD STE A
STOCKTON, CA 95207-8138
Phone number: 855-223-7123
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Mailing Address
STACY JANE CLARK
PO BOX 33568
SAN DIEGO, CA 92163-3568
Phone number: 855-223-7123
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