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1174980007
MYRA CLARK
BIRMINGHAM, AL
NPI
1174980007
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
(Licence: AL 16003458)
Enumeration Date
2016-01-22
Last Update Date
2016-01-22
Business Address
Mrs. MYRA CLARK
1377 MOHICAN DR
BIRMINGHAM, AL 35214-3811
Phone number: 205-705-6104
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Mailing Address
Mrs. MYRA CLARK
1377 MOHICAN DR
BIRMINGHAM, AL 35214-3811
Phone number: 205-705-6104
Copy
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