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1073134953
LAGEISHA N CLARK
LAKE CITY, FL
NPI
1073134953
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
376K00000X Nurse's Aide
(Licence: FL CNA140905)
Enumeration Date
2020-05-01
Last Update Date
2020-05-01
Business Address
LAGEISHA N CLARK
439 SW MICHIGAN ST
LAKE CITY, FL 32025-0440
Phone number: 386-487-0800
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Mailing Address
LAGEISHA N CLARK
439 SW MICHIGAN ST
LAKE CITY, FL 32025-0440
Phone number: 386-487-0800
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