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1295347714
VANESSA CLARK
TAMPA, FL
NPI
1295347714
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
376J00000X Homemaker
Enumeration Date
2020-08-17
Last Update Date
2020-08-17
Business Address
VANESSA CLARK
8305 BOTTOM WOODS CIR APT 102
TAMPA, FL 33637-5082
Phone number: 813-462-6504
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Mailing Address
VANESSA CLARK
PO BOX 272349
TAMPA, FL 33688-2349
Phone number: 813-462-6504
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