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1750022208
AUSTIN DANIEL CLARK
TALLAHASSEE, FL
NPI
1750022208
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-04-06
Last Update Date
2022-04-06
Business Address
AUSTIN DANIEL CLARK
1300 MICCOSUKEE RD
TALLAHASSEE, FL 32308-5054
Phone number: 850-431-7901
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Mailing Address
AUSTIN DANIEL CLARK
1300 MICCOSUKEE RD
TALLAHASSEE, FL 32308-5054
Phone number: 850-431-7901
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