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1609474774
MARK CLARK
MOUNDSVILLE, WV
NPI
1609474774
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
3747P1801X Technician, Personal Care Attendant
Enumeration Date
2020-10-12
Last Update Date
2020-10-12
Business Address
MARK CLARK
87 SWIERKOS DR
MOUNDSVILLE, WV 26041-4209
Phone number: 304-843-0910
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Mailing Address
MARK CLARK
501 10TH ST APT 411
MOUNDSVILLE, WV 26041-2243
Phone number: 304-843-0910
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