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1083355796
ASHLEY VICTORIA CLARK
STONE MOUNTAIN, GA
NPI
1083355796
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Former Name
ASHLEY VICTORIA WEST
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: GA PTA004397)
Enumeration Date
2022-04-05
Last Update Date
2022-04-05
Business Address
ASHLEY VICTORIA CLARK PTA
500 SPRINGHOUSE CIR
STONE MOUNTAIN, GA 30087-6741
Phone number: 678-684-3800
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Mailing Address
ASHLEY VICTORIA CLARK PTA
1274 ELMHURST CIR SE
ATLANTA, GA 30316-2726
Phone number: 404-494-0721
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