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1972803435
CHARAE J CLARK
LOS ANGELES, CA
NPI
1972803435
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2010-10-29
Last Update Date
2010-10-29
Business Address
-- CHARAE J CLARK
3761 STOCKER ST STE 105
LOS ANGELES, CA 90008-5129
Phone number: 323-294-4261
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Mailing Address
-- CHARAE J CLARK
7833 WEST BLVD
INGLEWOOD, CA 90305-1228
Phone number: 323-294-4261
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