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1417528191
BRIAN CLARK
ROCKLIN, CA
NPI
1417528191
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2021-07-05
Last Update Date
2021-07-05
Business Address
BRIAN CLARK
1614 PENINSULA CT
ROCKLIN, CA 95765-5420
Phone number: 916-412-1207
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Mailing Address
BRIAN CLARK
1614 PENINSULA CT
ROCKLIN, CA 95765-5420
Phone number: 916-412-1207
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