DONELLE LAMONT CLARK

ROBINS AFB, GA
NPI1588213128
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: WA  AP61073178)
Enumeration Date2019-09-06
Last Update Date2020-06-25
Business Address
Dr. DONELLE LAMONT CLARK DNP
655 7TH ST BLDG 700A7878
ROBINS AFB, GA 31098-2227
Phone number: 478-327-8398
Mailing Address
Dr. DONELLE LAMONT CLARK DNP
103 FARROW CT
KATHLEEN, GA 31047-2768
Phone number: 228-365-1241
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