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1750633046
NIKKI CLARK
SAN DIEGO, CA
NPI
1750633046
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2012-10-10
Last Update Date
2012-10-10
Business Address
-- NIKKI CLARK
2535 KETTNER BLVD 1A4
SAN DIEGO, CA 92101-1250
Phone number: 619-615-0701
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Mailing Address
-- NIKKI CLARK
4667 60TH ST
SAN DIEGO, CA 92115-3825
Phone number:
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