SHANE CLARK

LANSING, MI
NPI1902391477
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
(Licence: MI  5101024145)
Enumeration Date2018-06-27
Last Update Date2019-03-29
Business Address
SHANE CLARK
401 W GREENLAWN AVE
LANSING, MI 48910-2819
Phone number: 517-975-6000
Mailing Address
SHANE CLARK
401 W GREENLAWN AVE
LANSING, MI 48910-2819
Phone number: 517-975-6000
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