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1346982766
CLIFORD CHARLES
LOCUST GROVE, GA
NPI
1346982766
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
146N00000X Emergency Medical Technician, Basic
Enumeration Date
2022-04-07
Last Update Date
2024-03-31
Business Address
CLIFORD CHARLES
616 DYER DR
LOCUST GROVE, GA 30248-2350
Phone number: 770-480-9608
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Mailing Address
CLIFORD CHARLES
616 DYER DR
LOCUST GROVE, GA 30248-2350
Phone number: 770-268-9889
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