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1841488103
CLARK LANG
BALTIMORE, MD
NPI
1841488103
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
156FX1800X Technician/Technologist, Optician
(Licence: MD 12970942)
Enumeration Date
2007-10-11
Last Update Date
2007-10-11
Business Address
Mr. CLARK LANG
827 LINDEN AVE
BALTIMORE, MD 21201-4606
Phone number: 443-708-1549
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Mailing Address
Mr. CLARK LANG
827 LINDEN AVE
BALTIMORE, MD 21201-4606
Phone number: 443-708-1549
Copy
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