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1861934812
CALEB CLARK
RIVERDALE, UT
NPI
1861934812
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2016-11-08
Last Update Date
2016-11-08
Business Address
-- CALEB CLARK
5202 FREEWAY PARK DR
RIVERDALE, UT 84405-4016
Phone number: 801-255-5131
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Mailing Address
-- CALEB CLARK
6013 S REDWOOD RD
TAYLORSVILLE, UT 84123-5220
Phone number: 801-255-5131
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