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1346642071
SAMANTHA RAE CLARK
ELIZABETHTOWN, KY
NPI
1346642071
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2014-09-25
Last Update Date
2014-09-25
Business Address
-- SAMANTHA RAE CLARK
107 CRANES ROOST CT
ELIZABETHTOWN, KY 42701-3650
Phone number: 270-765-2605
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Mailing Address
-- SAMANTHA RAE CLARK
107 CRANES ROOST CT
ELIZABETHTOWN, KY 42701-3650
Phone number: 270-765-2605
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