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1568188373
MARIANN ELEANOR CLARK
ST AUGUSTINE, FL
NPI
1568188373
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
(Licence: FL RBT-22-238474)
Enumeration Date
2022-10-13
Last Update Date
2022-10-13
Business Address
MARIANN ELEANOR CLARK
180 CENTER PLACE WAY
ST AUGUSTINE, FL 32095-8859
Phone number: 904-429-6979
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Mailing Address
MARIANN ELEANOR CLARK
1945 INDIES DR E
JACKSONVILLE, FL 32246-2404
Phone number: 980-833-7999
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