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1487432449
CAROL LACESHIA CLARK
JACKSON, SC
NPI
1487432449
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: SC 46401)
Enumeration Date
2023-09-20
Last Update Date
2023-09-20
Business Address
Mrs. CAROL LACESHIA CLARK LPN
139 PAULINE ST
JACKSON, SC 29831-3136
Phone number: 803-450-6770
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Mailing Address
Mrs. CAROL LACESHIA CLARK LPN
139 PAULINE ST
JACKSON, SC 29831-3136
Phone number: 803-450-6770
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