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Individual

MR. ERIC B CLARK JR.

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
670 S 69TH ST, OMAHA, NE 68106-1004
(402) 612-8805
(402) 612-8805
Mailing address
4060 VINTON ST STE 100, OMAHA, NE 68105-3863
(402) 991-9880
(402) 625-0081

Taxonomy

Speciality
Code
Description
License number
State
376K00000X
Nurse's Aide
Primary

Other

Enumeration date
06/10/2025
Last updated
06/10/2025
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