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1730663816
BRETT T CLARK
EUGENE, OR
NPI
1730663816
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2018-09-24
Last Update Date
2018-09-24
Business Address
BRETT T CLARK
71 CENTENNIAL LOOP STE A
EUGENE, OR 97401-2443
Phone number: 541-505-8426
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Mailing Address
BRETT T CLARK
3587 HEATHROW WAY
MEDFORD, OR 97504-4004
Phone number: 541-858-8170
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