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1124430772
KELLY LYNN CLARK
LAKE MARY, FL
NPI
1124430772
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2014-05-29
Last Update Date
2017-01-16
Business Address
-- KELLY LYNN CLARK
791 RINEHART RD
LAKE MARY, FL 32746-4876
Phone number: 407-413-9550
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Mailing Address
-- KELLY LYNN CLARK
175 MIDDLE ST SUITE 1201
LAKE MARY, FL 32746-3625
Phone number: 866-610-0580
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