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1003298639
JEANETTA CLARK
TULLAHOMA, TN
NPI
1003298639
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YS0200X Counselor School
Enumeration Date
2015-06-19
Last Update Date
2015-06-19
Business Address
JEANETTA CLARK
1803 N. JACKSON ST CENTERSTONE OF TENNESSEE
TULLAHOMA, TN 37388
Phone number: 615-463-6643
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Mailing Address
JEANETTA CLARK
3605 CHASEWOOD DR SW APT 5
HUNTSVILLE, AL 35805-5180
Phone number: 205-427-6509
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