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1063148575
MACKENZIE CLARK
IRONTON, OH
NPI
1063148575
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
163WA0400X Registered Nurse, Addiction (Substance Use Disorder)
(Licence: OH 512073)
Enumeration Date
2022-07-27
Last Update Date
2022-07-27
Business Address
MACKENZIE CLARK
2111 S 7TH ST
IRONTON, OH 45638-2538
Phone number: 740-646-6640
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Mailing Address
MACKENZIE CLARK
2111 S 7TH ST
IRONTON, OH 45638-2538
Phone number: 740-646-6640
Copy
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