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1164111043
ANDREA CLARK
NEW BRIGHTON, MN
NPI
1164111043
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-05-05
Last Update Date
2023-05-05
Business Address
ANDREA CLARK
2483 15TH ST NW STE A
NEW BRIGHTON, MN 55112-5604
Phone number: 918-639-9067
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Mailing Address
ANDREA CLARK
713 CARPENTER RD
NOCONA, TX 76255-6820
Phone number: 918-639-9067
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