TERRELL CLARK

BOWLING GREEN, KY
NPI1154712214
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2015-02-11
Last Update Date2015-02-11
Business Address
-- TERRELL CLARK
380 SUWANNEE TRAIL ST
BOWLING GREEN, KY 42103-7956
Phone number: 270-901-5000
Mailing Address
-- TERRELL CLARK
380 SUWANNEE TRAIL ST
BOWLING GREEN, KY 42103-7956
Phone number: 270-901-5000
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