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1215361118
DANIEL CLARK
TIGARD, OR
NPI
1215361118
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: OR B-10212991)
Enumeration Date
2013-08-27
Last Update Date
2022-06-20
Business Address
DANIEL CLARK MS
9685 SW JOHNSON ST APT 25
TIGARD, OR 97223-5276
Phone number: 661-433-3358
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Mailing Address
DANIEL CLARK MS
9685 SW JOHNSON ST APT 25
TIGARD, OR 97223-5276
Phone number: 661-433-3358
Copy
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