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1205502655
ALISHA VICTORIA CLARK
TALLAHASSEE, FL
NPI
1205502655
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
1710I1003X Military Health Care Provider, Independent Duty Medical Technicians
(Licence: TX E2027750)
Enumeration Date
2021-08-17
Last Update Date
2021-08-17
Business Address
ALISHA VICTORIA CLARK
2507 OLD SAINT AUGUSTINE RD
TALLAHASSEE, FL 32301-6209
Phone number: 866-466-2475
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Mailing Address
ALISHA VICTORIA CLARK
2507 OLD SAINT AUGUSTINE RD
TALLAHASSEE, FL 32301-6209
Phone number: 866-466-2475
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