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1659987501
MELVIN DALTON CLARK
ANCHORAGE, AK
NPI
1659987501
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2020-09-16
Last Update Date
2020-09-16
Business Address
Mr. MELVIN DALTON CLARK
1709 BRAGAW ST
ANCHORAGE, AK 99508-3436
Phone number: 907-230-3315
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Mailing Address
Mr. MELVIN DALTON CLARK
9427 JEWEL LAKE RD
ANCHORAGE, AK 99502-1518
Phone number: 907-230-3315
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