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1689066367
SHELLEY B CLARK
OCEAN SPRINGS, MS
NPI
1689066367
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
314000000X Skilled Nursing Facility
(Licence: MS PTA4100)
Enumeration Date
2015-03-04
Last Update Date
2015-03-04
Business Address
Ms. SHELLEY B CLARK LPTA
6520 SUNSCOPE DR
OCEAN SPRINGS, MS 39564-8690
Phone number: 228-875-1177
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Mailing Address
Ms. SHELLEY B CLARK LPTA
6520 SUNSCOPE DR
OCEAN SPRINGS, MS 39564-8690
Phone number: 228-875-1177
Copy
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