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1942077516
LAKESHA CLARK
SALT LAKE CITY, UT
NPI
1942077516
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-12-05
Last Update Date
2023-12-05
Business Address
LAKESHA CLARK
3556 S 5600 W # 1-779
SALT LAKE CITY, UT 84120-2815
Phone number: 385-443-8659
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Mailing Address
LAKESHA CLARK
3556 S 5600 W # 1-779
SALT LAKE CITY, UT 84120-2815
Phone number: 385-443-8659
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