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1366011306
MATTHEW CLARK
TAMPA, FL
NPI
1366011306
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: FL RBT-20-126471)
Enumeration Date
2021-06-23
Last Update Date
2021-06-23
Business Address
MATTHEW CLARK
1902 S MACDILL AVE
TAMPA, FL 33629-5903
Phone number: 813-250-0482
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Mailing Address
MATTHEW CLARK
1902 S MACDILL AVE
TAMPA, FL 33629-5903
Phone number: 813-250-0482
Copy
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