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1043348634
JODI L CLARK
TENNESSEE RIDGE, TN
NPI
1043348634
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
3747A0650X Technician, Attendant Care Provider
Enumeration Date
2007-03-02
Last Update Date
2007-07-08
Business Address
Mrs. JODI L CLARK
1330 N MAIN ST
TENNESSEE RIDGE, TN 37178-4003
Phone number: 931-721-3312
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Mailing Address
Mrs. JODI L CLARK
90 METCALF DR
ERIN, TN 37061-5010
Phone number: 931-289-4808
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