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1356706543
ELIZABETH CLARK
ROSWELL, GA
NPI
1356706543
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
251K00000X Public Health or Welfare
(Licence: GA 24915)
Enumeration Date
2015-12-15
Last Update Date
2015-12-15
Business Address
-- ELIZABETH CLARK
295 BROADMEADOW CV
ROSWELL, GA 30075-2950
Phone number: 770-993-7918
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Mailing Address
-- ELIZABETH CLARK
295 BROADMEADOW CV
ROSWELL, GA 30075-2950
Phone number: 770-993-7918
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