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1386222107
MELINDA CLARK
LAWRENCEVILLE, GA
NPI
1386222107
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
376K00000X Nurse's Aide
(Licence: GA CN0030009090)
Enumeration Date
2021-04-01
Last Update Date
2021-04-21
Business Address
MELINDA CLARK
1145 GOLDEN VALLEY CT
LAWRENCEVILLE, GA 30043-6372
Phone number: 706-769-1010
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Mailing Address
MELINDA CLARK
PO BOX 491832
LAWRENCEVILLE, GA 30049-0031
Phone number: 706-769-1010
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