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1306385448
A CLARK MINORITY COMPANY LLC
PONTE VEDRA BEACH, FL
NPI
1306385448
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Entity Type
Organization
Authorized Contact
JAMES DOUGLAS CLARK
President/Eo
904-463-1693
Organization Subpart ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-02-22
Last Update Date
2017-02-22
Business Address
A CLARK MINORITY COMPANY LLC
4615 MARSH HAWK PL
PONTE VEDRA BEACH, FL 32082-3027
Phone number: 904-463-1693
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Mailing Address
A CLARK MINORITY COMPANY LLC
4615 MARSH HAWK PL
PONTE VEDRA BEACH, FL 32082-3027
Phone number: 904-463-1693
Copy
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