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1689824088
DALE D CLARK
PUYALLUP, WA
NPI
1689824088
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
(Licence: WA RC0035556)
Enumeration Date
2008-09-23
Last Update Date
2008-09-23
Business Address
DALE D CLARK
325 E PIONEER AVE
PUYALLUP, WA 98372-3265
Phone number: 253-697-8548
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Mailing Address
DALE D CLARK
325 E PIONEER AVE
PUYALLUP, WA 98372-3265
Phone number: 253-697-8548
Copy
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