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1124763651
MONIQUE N CLARK
AUGUSTA, GA
NPI
1124763651
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
374U00000X Home Health Aide
Enumeration Date
2022-04-29
Last Update Date
2022-04-29
Business Address
MS. MONIQUE N CLARK
1924 ELLIS ST
AUGUSTA, GA 30904-3904
Phone number: 762-215-3930
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Mailing Address
MS. MONIQUE N CLARK
1924 ELLIS ST
AUGUSTA, GA 30904-3904
Phone number: 762-215-3930
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