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1215278320
ASHLEY ELLEN CLARK
MARIETTA, GA
NPI
1215278320
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2100X Nurse Practitioner, Acute Care
(Licence: GA RN228776)
Enumeration Date
2013-03-14
Last Update Date
2022-08-08
Business Address
ASHLEY ELLEN CLARK C.N.P.
677 CHURCH ST NE BOX 111
MARIETTA, GA 30060-1101
Phone number: 770-793-7750
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Mailing Address
ASHLEY ELLEN CLARK C.N.P.
677 CHURCH ST NE BOX 111
MARIETTA, GA 30060-1101
Phone number: 770-793-7750
Copy
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