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1134811813
DAMETRE DARRELLE CLARK
GLENDALE, CA
NPI
1134811813
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: CA RBT-23-272493)
Enumeration Date
2023-05-22
Last Update Date
2023-05-22
Business Address
DAMETRE DARRELLE CLARK
237 N CENTRAL AVE STE A
GLENDALE, CA 91203-3526
Phone number: 323-795-2096
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Mailing Address
DAMETRE DARRELLE CLARK
43423 CARPENTER DR
LANCASTER, CA 93535-4875
Phone number: 626-644-8851
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