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1164072492
ANGELA G CLARK
PLANT CITY, FL
NPI
1164072492
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
261QD1600X Clinic/Center, Developmental Disabilities
Enumeration Date
2019-09-18
Last Update Date
2019-09-18
Business Address
ANGELA G CLARK
4703 HORTON RD
PLANT CITY, FL 33567-3625
Phone number: 813-808-9023
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Mailing Address
ANGELA G CLARK
4703 HORTON RD
PLANT CITY, FL 33567-3625
Phone number: 813-808-9023
Copy
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