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Individual

MR. HULEN FRANK CLARK JR

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
1001 FOURTH AVENUE, LOT 62, SIDNEY, OH 45365-2893
(606) 492-4076
Mailing address
1001 FOURTH AVENUE, LOT 62, SIDNEY, OH 45365-2893
(606) 492-4076

Taxonomy

Speciality
Code
Description
License number
State
374U00000X
Home Health Aide
Primary
OH

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0374212
OH
Enumeration date
09/28/2020
Last updated
03/07/2023
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