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1538556436
COLE CLARK
CLEVELAND, MS
NPI
1538556436
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
385H00000X Respite Care
Enumeration Date
2015-04-20
Last Update Date
2015-04-20
Business Address
-- COLE CLARK
103 S COURT ST 103 SOUTH STREET
CLEVELAND, MS 38732-2651
Phone number: 662-719-8217
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Mailing Address
-- COLE CLARK
PO BOX 264 103 SOUTH STREET
CLEVELAND, MS 38732-0264
Phone number: 662-719-8217
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