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1063799682
MELISSA NEWKAM CLARK
BRASELTON, GA
NPI
1063799682
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225XP0200X Occupational Therapist, Pediatrics
(Licence: GA OT005376)
Enumeration Date
2011-11-10
Last Update Date
2011-11-10
Business Address
-- MELISSA NEWKAM CLARK OTR/L
5745 OLD WINDER HWY STE C
BRASELTON, GA 30517-1637
Phone number: 770-965-1861
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Mailing Address
-- MELISSA NEWKAM CLARK OTR/L
5745 OLD WINDER HWY STE C
BRASELTON, GA 30517-1637
Phone number:
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