RON WAYNE CLARK

SANTA CRUZ, CA
NPI1801010012
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy101Y00000X Counselor
Enumeration Date2007-04-12
Last Update Date2007-07-08
Business Address
-- RON WAYNE CLARK
2422 ORIOLE LN
SANTA CRUZ, CA 95062-4262
Phone number: 831-818-8894
Mailing Address
-- RON WAYNE CLARK
2422 ORIOLE LN
SANTA CRUZ, CA 95062-4262
Phone number: 818-818-8894
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