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1417148958
ERICA N CLARK
COVINGTON, TN
NPI
1417148958
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2007-08-08
Last Update Date
2007-08-08
Business Address
ERICA N CLARK
1997 HIGHWAY 51 S
COVINGTON, TN 38019-3630
Phone number: 901-476-8967
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Mailing Address
ERICA N CLARK
1997 HIGHWAY 51 S
COVINGTON, TN 38019-3630
Phone number: 901-476-8967
Copy
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