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1699591735
NICHOLAS CLARK
JOHNSTON, IA
NPI
1699591735
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
103K00000X Behavior Analyst
(Licence: IA BA-01124)
Enumeration Date
2024-11-22
Last Update Date
2024-11-22
Business Address
NICHOLAS CLARK
8835 NORTHPARK CT
JOHNSTON, IA 50131-3018
Phone number: 515-207-5251
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Mailing Address
NICHOLAS CLARK
11428 FOREST AVE APT 1321
CLIVE, IA 50325-7062
Phone number: 319-231-5148
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