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1134339740
MICHELE LYNN CLARK
DAVIS, CA
NPI
1134339740
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: CA rma104476016)
Enumeration Date
2007-05-23
Last Update Date
2007-07-08
Business Address
-- MICHELE LYNN CLARK
2040 SUTTER PL
DAVIS, CA 95616-6201
Phone number: 530-758-2060
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Mailing Address
-- MICHELE LYNN CLARK
PO BOX 1260
DAVIS, CA 95617-1260
Phone number: 530-753-3498
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