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1669019600
BRANDY LEE CLARK
DALTON, GA
NPI
1669019600
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA 163349)
Enumeration Date
2019-12-10
Last Update Date
2019-12-10
Business Address
Mrs. BRANDY LEE CLARK APRN
1575 CHATTANOOGA AVE STE 1
DALTON, GA 30720-2672
Phone number: 706-876-2130
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Mailing Address
Mrs. BRANDY LEE CLARK APRN
1575 CHATTANOOGA AVE STE 1
DALTON, GA 30720-2672
Phone number: 706-876-2130
Copy
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