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1366653594
BEAU CAMERON CLARK
CORVALLIS, OR
NPI
1366653594
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2007-05-28
Last Update Date
2007-07-08
Business Address
Mr. BEAU CAMERON CLARK
4455 NE HIGHWAY 20
CORVALLIS, OR 97330-9695
Phone number: 541-758-5936
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Mailing Address
Mr. BEAU CAMERON CLARK
883 NW OAK AVE
CORVALLIS, OR 97330-1518
Phone number:
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