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1639371461
CODY CLARK
CORVALLIS, OR
NPI
1639371461
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
104100000X Social Worker
Enumeration Date
2007-06-04
Last Update Date
2007-07-08
Business Address
-- CODY CLARK
4455 NE HIGHWAY 20
CORVALLIS, OR 97330-9695
Phone number: 541-758-5900
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Mailing Address
-- CODY CLARK
475 SE PARK AVE
CORVALLIS, OR 97333
Phone number:
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