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1053933283
MIDGE ANN CLARK
CANTON, OH
NPI
1053933283
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OH LPN.169251.MEDS-IV)
Enumeration Date
2020-05-11
Last Update Date
2020-05-11
Business Address
MIDGE ANN CLARK LPN
2421 13TH ST NW
CANTON, OH 44708-3116
Phone number: 330-430-1231
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Mailing Address
MIDGE ANN CLARK LPN
5982 RHODES RD
KENT, OH 44240-8100
Phone number: 330-673-1347
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