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1699553909
ELYSE MARTEAL CLARK
LONG BEACH, CA
NPI
1699553909
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-09-18
Last Update Date
2023-09-19
Business Address
ELYSE MARTEAL CLARK
200 PINE AVE STE 400
LONG BEACH, CA 90802-3039
Phone number: 562-285-1330
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Mailing Address
ELYSE MARTEAL CLARK
5317 E CALDERWOOD ST
LONG BEACH, CA 90815-2926
Phone number: 562-485-7335
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