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1043776891
LAUREN CLARK
MACON, GA
NPI
1043776891
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: GA RN205830)
Enumeration Date
2019-02-18
Last Update Date
2019-02-18
Business Address
LAUREN CLARK
3708 NORTHSIDE DR
MACON, GA 31210-2404
Phone number: 478-745-4206
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Mailing Address
LAUREN CLARK
3708 NORTHSIDE DR
MACON, GA 31210-2404
Phone number:
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