CORNELIUS CLARK

GARY, IN
NPI1548805880
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy374700000X Technician
Enumeration Date2019-11-11
Last Update Date2019-11-11
Business Address
CORNELIUS CLARK
1100 W 6TH AVE
GARY, IN 46402-1711
Phone number: 219-885-4264
Mailing Address
CORNELIUS CLARK
1100 W 6TH AVE
GARY, IN 46402-1711
Phone number:
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