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Individual
GIAN LOUIS CLARK
Active
Individual
GIAN LOUIS CLARK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
00000000
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1174557409
—
NY
Enumeration date
10/06/2025
Last updated
10/06/2025
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