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1891442810
BRUCE BRANDON CLARK
MUNCIE, IN
NPI
1891442810
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2022-03-09
Last Update Date
2022-03-09
Business Address
BRUCE BRANDON CLARK
3205 S MADISON ST
MUNCIE, IN 47302-5604
Phone number: 765-283-4329
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Mailing Address
BRUCE BRANDON CLARK
3205 S MADISON ST
MUNCIE, IN 47302-5604
Phone number:
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