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1114637097
COLTON L CLARK
GRAND RAPIDS, MI
NPI
1114637097
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2022-12-01
Last Update Date
2022-12-01
Business Address
COLTON L CLARK
825 LEONARD ST NE
GRAND RAPIDS, MI 49503-1177
Phone number: 616-200-4441
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Mailing Address
COLTON L CLARK
825 LEONARD ST NE
GRAND RAPIDS, MI 49503-1177
Phone number:
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