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1487662896
DANIEL JOSEPH CLARK
SACRAMENTO, CA
NPI
1487662896
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
167G00000X Licensed Psychiatric Technician
(Licence: CA PT 23702)
Enumeration Date
2006-08-03
Last Update Date
2012-05-23
Business Address
Mr. DANIEL JOSEPH CLARK LPT
2150 STOCKTON BLVD
SACRAMENTO, CA 95817-1337
Phone number: 916-875-1000
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Mailing Address
Mr. DANIEL JOSEPH CLARK LPT
3101 E LATHROP RD
MANTECA, CA 95336-8112
Phone number: 209-417-0638
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