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1992363345
BRIAN K CLARK
CLEVELAND, OH
NPI
1992363345
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OH 169548)
Enumeration Date
2019-05-31
Last Update Date
2019-05-31
Business Address
BRIAN K CLARK
15201 JUDSON DR
CLEVELAND, OH 44128-1956
Phone number: 216-855-1969
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Mailing Address
BRIAN K CLARK
15201 JUDSON DR
CLEVELAND, OH 44128-1956
Phone number: 216-855-1969
Copy
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