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1295478501
MADISON MIMI CLARK
FULLERTON, CA
NPI
1295478501
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225400000X Rehabilitation Practitioner
Enumeration Date
2022-04-14
Last Update Date
2022-04-14
Business Address
MADISON MIMI CLARK
801 E. CHAPMAN AVE #203
FULLERTON, CA 92831-3839
Phone number: 714-680-9000
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Mailing Address
MADISON MIMI CLARK
PO BOX 919
FULLERTON, CA 92836-0919
Phone number: 714-680-9000
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