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1215329891
AMANDA ALYCE CLARK
CANTON, OH
NPI
1215329891
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2015-02-19
Last Update Date
2015-02-25
Business Address
Mrs. AMANDA ALYCE CLARK
919 2ND ST NE
CANTON, OH 44704-1132
Phone number: 330-933-2339
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Mailing Address
Mrs. AMANDA ALYCE CLARK
919 2ND ST NE
CANTON, OH 44704-1132
Phone number: 330-933-2339
Copy
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