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MICHAEL CLARK

Driver

NPI: 1063683597Individual

Specialties, Licenses & Credentials

DriverPrimary

Driver

Code: 172A00000X

Contact & Hours

Address
619 CLARENCE ST APT 5
LAKE CHARLES, LA 70601

Quick Facts

NPI
1063683597
Entity Type
Individual
Gender
Male
Medicare
Not confirmed
Specialties
1
Locations
1

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