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1336771955
DANIEL LEE CLARK
COLLEGE STATION, TX
NPI
1336771955
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171WH0202X Contractor, Home Modifications
(Licence: TX CR2016-000553)
Enumeration Date
2020-02-11
Last Update Date
2020-02-11
Business Address
DANIEL LEE CLARK
2151 HARVEY MITCHELL PKWY S STE 227
COLLEGE STATION, TX 77840-5242
Phone number: 979-693-7672
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Mailing Address
DANIEL LEE CLARK
2151 HARVEY MITCHELL PKWY S STE 227
COLLEGE STATION, TX 77840-5242
Phone number: 979-693-7672
Copy
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