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1205576931
TIMOTHY L CLARK
SAVANNAH, GA
NPI
1205576931
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-03-30
Last Update Date
2022-03-30
Business Address
TIMOTHY L CLARK
4700 WATERS AVE
SAVANNAH, GA 31404-6220
Phone number: 912-350-8193
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Mailing Address
TIMOTHY L CLARK
4700 WATERS AVE
SAVANNAH, GA 31404-6220
Phone number:
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