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1245768415
JACQUELYN CLARK
COLUMBIA, SC
NPI
1245768415
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
174400000X Specialist
Enumeration Date
2017-05-31
Last Update Date
2017-05-31
Business Address
JACQUELYN CLARK
2000 N BELTLINE BLVD APT 102E
COLUMBIA, SC 29204-3976
Phone number: 803-814-2566
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Mailing Address
JACQUELYN CLARK
2000 N BELTLINE BLVD APT 102E
COLUMBIA, SC 29204-3976
Phone number:
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