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1356958383
JEREMY KEITH CLARK
OGDEN, UT
NPI
1356958383
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106H00000X Marriage & Family Therapist
Enumeration Date
2020-09-24
Last Update Date
2020-09-24
Business Address
JEREMY KEITH CLARK
1525 LINCOLN AVE
OGDEN, UT 84404-5638
Phone number: 801-621-6510
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Mailing Address
JEREMY KEITH CLARK
566 E 500 N
LOGAN, UT 84321-4251
Phone number: 453-938-8562
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