KELLY CLARK

SUMTER, SC
NPI1568883312
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: SC  PR31930)
Enumeration Date2013-12-20
Last Update Date2013-12-20
Business Address
-- KELLY CLARK
125 W BARTLETTE ST APT. 110
SUMTER, SC 29150-5173
Phone number: 803-236-6727
Mailing Address
-- KELLY CLARK
125 W BARTLETTE ST APT. 110
SUMTER, SC 29150-5173
Phone number:
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