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1023509452
JEANINE CLARK
STOCKBRIDGE, GA
NPI
1023509452
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN243362)
Enumeration Date
2018-05-21
Last Update Date
2024-08-20
Business Address
JEANINE CLARK FNP
175 MEDICAL BLVD
STOCKBRIDGE, GA 30281-5083
Phone number: 239-443-8018
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Mailing Address
JEANINE CLARK FNP
17 HAMPTON ST STE F
MCDONOUGH, GA 30253-3159
Phone number: 239-443-8018
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