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1386911105
VARGAS L CLARK
SOUTHAVEN, MS
NPI
1386911105
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
103K00000X Behavior Analyst
Enumeration Date
2011-11-22
Last Update Date
2011-11-22
Business Address
Mr. VARGAS L CLARK Ms. Ed
4813 THORNBURY CV
SOUTHAVEN, MS 38672-9591
Phone number: 901-216-1486
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Mailing Address
Mr. VARGAS L CLARK Ms. Ed
4813 THORNBURY CV
SOUTHAVEN, MS 38672-9591
Phone number: 901-216-1486
Copy
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