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1154712214
TERRELL CLARK
BOWLING GREEN, KY
NPI
1154712214
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2015-02-11
Last Update Date
2015-02-11
Business Address
-- TERRELL CLARK
380 SUWANNEE TRAIL ST
BOWLING GREEN, KY 42103-7956
Phone number: 270-901-5000
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Mailing Address
-- TERRELL CLARK
380 SUWANNEE TRAIL ST
BOWLING GREEN, KY 42103-7956
Phone number: 270-901-5000
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