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1578692463
SANDRA CLARK
WATER VALLEY, MS
NPI
1578692463
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Other Name
JASON CLARK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2471C3402X Radiologic Technologist, Radiography
(Licence: MS MRT2279)
Enumeration Date
2007-03-05
Last Update Date
2007-07-09
Business Address
-- SANDRA CLARK RT(R)
139 COUNTY ROAD 379
WATER VALLEY, MS 38965-3607
Phone number: 662-514-5215
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Mailing Address
-- SANDRA CLARK RT(R)
139 COUNTY ROAD 379
WATER VALLEY, MS 38965-3607
Phone number: 662-514-5215
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