BRANDON CLARK

SPRINGFIELD, OR
NPI1528256955
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Enumeration Date2007-10-10
Last Update Date2007-10-10
Business Address
Mr. BRANDON CLARK
3995 MARCOLA RD
SPRINGFIELD, OR 97477-7948
Phone number: 541-726-1465
Mailing Address
Mr. BRANDON CLARK
3995 MARCOLA RD
SPRINGFIELD, OR 97477-7948
Phone number:
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