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1265210728
CLARK DEAN BRYAN
MIRAMAR, FL
NPI
1265210728
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
(Licence: FL RBT-23-293545)
Enumeration Date
2023-09-18
Last Update Date
2023-09-18
Business Address
CLARK DEAN BRYAN
2730 DEVONWOOD AVE
MIRAMAR, FL 33025-2442
Phone number: 954-240-5646
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Mailing Address
CLARK DEAN BRYAN
2730 DEVONWOOD AVE
MIRAMAR, FL 33025-2442
Phone number: 954-240-5646
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