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1124872536
DOMINIC CLARK
LOS ANGELES, CA
NPI
1124872536
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA 736986)
Enumeration Date
2024-04-12
Last Update Date
2024-04-12
Business Address
DOMINIC CLARK
1670 E 120TH ST
LOS ANGELES, CA 90059-3026
Phone number: 424-338-2940
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Mailing Address
DOMINIC CLARK
1670 E 120TH ST
LOS ANGELES, CA 90059-3026
Phone number:
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