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1942344031
KENNETH L CLARK
REDDING, CA
NPI
1942344031
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163WP0808X Registered Nurse Psychiatric/Mental Health
(Licence: CA RN308125)
Enumeration Date
2007-02-20
Last Update Date
2007-07-08
Business Address
KENNETH L CLARK RN
2640 BRESLAUER WAY
REDDING, CA 96001-4246
Phone number: 530-225-5233
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Mailing Address
KENNETH L CLARK RN
PO BOX 496048
REDDING, CA 96049-6048
Phone number:
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