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1154780021
BRANDI CLARK
GALLIPOLIS, OH
NPI
1154780021
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OH PN.124270-M-IV)
Enumeration Date
2016-02-19
Last Update Date
2016-02-19
Business Address
-- BRANDI CLARK LPN
3086 STATE ROUTE 160
GALLIPOLIS, OH 45631-8409
Phone number: 740-446-5500
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Mailing Address
-- BRANDI CLARK LPN
3086 STATE ROUTE 160
GALLIPOLIS, OH 45631-8409
Phone number: 740-446-5500
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