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1497519078
MATTHEW RAY CLARK
SPOKANE, WA
NPI
1497519078
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-02-13
Last Update Date
2024-02-13
Business Address
MATTHEW RAY CLARK
101 W 8TH AVE
SPOKANE, WA 99204-2307
Phone number: 210-326-4036
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Mailing Address
MATTHEW RAY CLARK
8711 ALDERMAN DR
AUSTIN, TX 78747-2823
Phone number: 210-326-4036
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