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1497469480
DEREK ANTHONY CLARK
PHILADELPHIA, PA
NPI
1497469480
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2023-01-13
Last Update Date
2023-01-13
Business Address
Mr. DEREK ANTHONY CLARK
1235 SPRING GARDEN ST
PHILADELPHIA, PA 19123-3206
Phone number: 215-769-3561
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Mailing Address
Mr. DEREK ANTHONY CLARK
1235 SPRING GARDEN ST
PHILADELPHIA, PA 19123-3206
Phone number: 215-769-3561
Copy
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