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1437548062
BRIAN CLARK
ROCKLIN, CA
NPI
1437548062
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225XG0600X Occupational Therapist, Gerontology
(Licence: CA 5857)
Enumeration Date
2015-01-20
Last Update Date
2015-01-20
Business Address
-- BRIAN CLARK
4718 TENBURY LN
ROCKLIN, CA 95677-4487
Phone number: 916-214-9597
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Mailing Address
-- BRIAN CLARK
4718 TENBURY LN
ROCKLIN, CA 95677-4487
Phone number:
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