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1346767134
TAKALA CLARK
MELBOURNE, FL
NPI
1346767134
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2017-08-23
Last Update Date
2017-08-23
Business Address
TAKALA CLARK
475 S JOHN RODES BLVD
MELBOURNE, FL 32904-1093
Phone number: 321-241-1170
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Mailing Address
TAKALA CLARK
475 S JOHN RODES BLVD
MELBOURNE, FL 32904-1093
Phone number:
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