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1780373977
SHAWN ANDREW CLARK
TRAVERSE CITY, MI
NPI
1780373977
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-05-03
Last Update Date
2023-05-03
Business Address
Mr. SHAWN ANDREW CLARK
945 BARLOW ST
TRAVERSE CITY, MI 49686-4250
Phone number: 231-268-0007
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Mailing Address
Mr. SHAWN ANDREW CLARK
752 W LEONARD RD
MANCELONA, MI 49659-9794
Phone number: 231-468-8138
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