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1891395422
SAM BURK CLARK
SALT LAKE CITY, UT
NPI
1891395422
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2020-11-01
Last Update Date
2020-11-01
Business Address
SAM BURK CLARK
515 S. 700 E SUITE 2A
SALT LAKE CITY, UT 84102-2142
Phone number: 801-935-4171
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Mailing Address
SAM BURK CLARK
515 S. 700 E SUITE 2A
SALT LAKE CITY, UT 84102-2142
Phone number: 801-935-4171
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