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1760071013
RYAN J CLARK
REDDING, CA
NPI
1760071013
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2021-01-12
Last Update Date
2021-01-22
Business Address
RYAN J CLARK
1300 HILLTOP DR
REDDING, CA 96003-3874
Phone number: 530-768-3952
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Mailing Address
RYAN J CLARK
1300 HILLTOP DR
REDDING, CA 96003-3874
Phone number: 530-768-3952
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