VICTOR CLARK

HERRIMAN, UT
NPI1649687948
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy310400000X Assisted Living Facility
(Licence: UT  2014-ALIIUT000651)
Enumeration Date2014-07-18
Last Update Date2014-07-18
Business Address
-- VICTOR CLARK
6352 W 13100 S
HERRIMAN, UT 84096
Phone number: 801-903-1040
Mailing Address
-- VICTOR CLARK
6352 W 13100 S
HERRIMAN, UT 84096
Phone number: 801-903-1040
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