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1134786981
SUSANNE CLARK
TACOMA, WA
NPI
1134786981
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2019-05-28
Last Update Date
2019-05-28
Business Address
SUSANNE CLARK student
1717 S J ST
TACOMA, WA 98405-4933
Phone number: 253-426-4101
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Mailing Address
SUSANNE CLARK student
504 3RD AVE S
KIRKLAND, WA 98033-3607
Phone number: 571-421-4137
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