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1336910991
LATASHA NICHOLE CLARK
SPRINGFIELD, OH
NPI
1336910991
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2024-01-12
Last Update Date
2024-01-12
Business Address
LATASHA NICHOLE CLARK
1918 MECHANICSBURG RD
SPRINGFIELD, OH 45503-3147
Phone number: 937-399-6101
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Mailing Address
LATASHA NICHOLE CLARK
801 S CENTER ST
SPRINGFIELD, OH 45506-2213
Phone number: 937-536-2755
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