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1386904654
CHRIS GORDON CLARK
LOS ANGELES, CA
NPI
1386904654
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Additional Taxonomies
101YM0800X Counselor, Mental Health
Enumeration Date
2012-05-21
Last Update Date
2021-06-17
Business Address
CHRIS GORDON CLARK
1816 S FIGUEROA ST FL 6
LOS ANGELES, CA 90015-3422
Phone number: 310-251-2145
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Mailing Address
CHRIS GORDON CLARK
1816 S FIGUEROA ST FL 6
LOS ANGELES, CA 90015-3422
Phone number: 310-251-2145
Copy
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