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1275963514
MARSHALL B CLACK, II
MADISON, GA
NPI
1275963514
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
Enumeration Date
2013-11-23
Last Update Date
2013-11-23
Business Address
-- MARSHALL B CLACK, II
1075 S MAIN ST ST 100
MADISON, GA 30650-2033
Phone number: 706-752-0322
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Mailing Address
-- MARSHALL B CLACK, II
2323 FIELDSTONE DR SE
CONYERS, GA 30013-1918
Phone number: 770-710-3598
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