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1316772825
BRANDON MICHAEL CLARK
COLUMBUS, OH
NPI
1316772825
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2024-09-04
Last Update Date
2024-09-04
Business Address
BRANDON MICHAEL CLARK
2177 MOCK RD
COLUMBUS, OH 43219-1258
Phone number: 614-914-8781
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Mailing Address
BRANDON MICHAEL CLARK
2177 MOCK RD
COLUMBUS, OH 43219-1258
Phone number: 614-914-8781
Copy
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