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1407536212
ADAM CLARK
VISTA, CA
NPI
1407536212
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-07-18
Last Update Date
2023-07-18
Business Address
ADAM CLARK
1926 VIA CTR STE B
VISTA, CA 92081-6056
Phone number: 949-474-1493
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Mailing Address
ADAM CLARK
3652 MICHELSON DR
IRVINE, CA 92612-1727
Phone number: 949-474-1493
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