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1649394172
ANGEL SHANNON CLARK
JOHNSON CITY, TN
NPI
1649394172
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2007-03-19
Last Update Date
2007-07-08
Business Address
ANGEL SHANNON CLARK MA
109 W WATAUGA AVE
JOHNSON CITY, TN 37604-5621
Phone number: 423-232-2600
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Mailing Address
ANGEL SHANNON CLARK MA
PO BOX 9054
GRAY, TN 37615-9054
Phone number: 423-467-3600
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