EDNA MICHELLE CLARK

HINESVILLE, GA
NPI1114918158
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: GA  LPN047051)
Enumeration Date2005-10-31
Last Update Date2007-07-08
Business Address
-- EDNA MICHELLE CLARK LPN
635 SLADE ST
HINESVILLE, GA 31313-3941
Phone number: 912-368-2107
Mailing Address
-- EDNA MICHELLE CLARK LPN
635 SLADE ST
HINESVILLE, GA 31313-3941
Phone number: 912-368-2107
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