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1497979298
SEAN CLARK
FORT COLLINS, CO
NPI
1497979298
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
(Licence: CO MT.0016060)
Enumeration Date
2007-04-12
Last Update Date
2015-04-20
Business Address
Mr. SEAN CLARK LMT
151 S COLLEGE AVE SUITE A4
FORT COLLINS, CO 80524-2864
Phone number: 970-305-2197
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Mailing Address
Mr. SEAN CLARK LMT
151 S COLLEGE AVE SUITE A4
FORT COLLINS, CO 80524-2864
Phone number: 970-305-2197
Copy
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