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1184367914
BETTY CLARK
SHREVEPORT, LA
NPI
1184367914
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
374U00000X Home Health Aide
Enumeration Date
2022-04-19
Last Update Date
2022-04-19
Business Address
BETTY CLARK
1353 GLEN OAK PL
SHREVEPORT, LA 71103-3859
Phone number: 318-404-8644
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Mailing Address
BETTY CLARK
1353 GLEN OAK PL
SHREVEPORT, LA 71103-3859
Phone number:
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