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1932455581
JARED CLYDE CLARK
OXFORD, MS
NPI
1932455581
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor Mental Health
Enumeration Date
2012-08-01
Last Update Date
2012-08-01
Business Address
MR. JARED CLYDE CLARK MS
152 HIGHWAY 7 S
OXFORD, MS 38655-5392
Phone number: 662-234-7521
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Mailing Address
MR. JARED CLYDE CLARK MS
152 HIGHWAY 7 S
OXFORD, MS 38655-5392
Phone number: 662-234-7521
Copy
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