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1104921675
CLARK CARLISLE
GREELEY, CO
NPI
1104921675
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2006-09-13
Last Update Date
2008-03-13
Business Address
-- CLARK CARLISLE
1306 11TH AVE
GREELEY, CO 80631-3835
Phone number: 970-347-2120
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Mailing Address
-- CLARK CARLISLE
1306 11TH AVE
GREELEY, CO 80631-3835
Phone number: 970-347-2120
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