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1881296465
MADELINE CLARK
SANTA ANA, CA
NPI
1881296465
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164X00000X Licensed Vocational Nurse
(Licence: CA 686532)
Enumeration Date
2020-11-10
Last Update Date
2020-11-10
Business Address
MADELINE CLARK
1950 E 17TH ST STE 150
SANTA ANA, CA 92705-6852
Phone number: 714-547-5375
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Mailing Address
MADELINE CLARK
816 SILVER FIR RD
WALNUT, CA 91789-3216
Phone number:
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