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1235308909
CRYSTAL CLARK SEN
ALPHARETTA, GA
NPI
1235308909
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: GA 005269)
Enumeration Date
2008-02-26
Last Update Date
2020-12-16
Business Address
Mrs. CRYSTAL CLARK SEN PA-C, MMSc
3400 OLD MILTON PKWY STE C500
ALPHARETTA, GA 30005
Phone number: 678-775-2284
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Mailing Address
Mrs. CRYSTAL CLARK SEN PA-C, MMSc
6600 PEACHTREE DUNWOODY RD BLD 600, STE 325
ATLANTA, GA 30328
Phone number: 404-876-1906
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