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1518685965
JASON J CLARK
FEDERAL WAY, WA
NPI
1518685965
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2022-08-19
Last Update Date
2022-08-19
Business Address
JASON J CLARK CPC
500 S 336TH ST STE 102
FEDERAL WAY, WA 98003-6389
Phone number: 206-261-2410
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Mailing Address
JASON J CLARK CPC
3812 LANYARD DR NE
LACEY, WA 98516-1333
Phone number: 206-261-2410
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