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1366028300
ROBERT MICHEAL CLARK
CULVER CITY, CA
NPI
1366028300
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2021-03-21
Last Update Date
2021-03-21
Business Address
ROBERT MICHEAL CLARK
4760 SEPULVEDA BLVD
CULVER CITY, CA 90230-4820
Phone number: 310-390-6612
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Mailing Address
ROBERT MICHEAL CLARK
1540 E COLORADO ST
GLENDALE, CA 91205-1514
Phone number: 323-778-9593
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