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1619702289
CANDIE CLARK
VILLA RICA, GA
NPI
1619702289
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
332B00000X Durable Medical Equipment & Medical Supplies
Enumeration Date
2024-09-04
Last Update Date
2024-09-04
Business Address
CANDIE CLARK
1836 CARROLLTON VILLA RICA HWY STE 301
VILLA RICA, GA 30180-5195
Phone number: 770-742-9375
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Mailing Address
CANDIE CLARK
1836 CARROLLTON VILLA RICA HWY STE 301
VILLA RICA, GA 30180-5195
Phone number: 770-742-9375
Copy
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