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1285136846
JUSTIN CLARK
REDDING, CA
NPI
1285136846
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
222Z00000X Orthotist
Enumeration Date
2018-02-28
Last Update Date
2018-03-17
Business Address
JUSTIN CLARK BOCO
1844 SOUTH ST
REDDING, CA 96001-1809
Phone number: 530-243-4500
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Mailing Address
JUSTIN CLARK BOCO
1844 SOUTH ST
REDDING, CA 96001-1809
Phone number: 530-243-4500
Copy
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