ANSENIO CLARK

MONTGOMERY, AL
NPI1699517821
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy291U00000X Clinical Medical Laboratory
Enumeration Date2024-06-10
Last Update Date2024-06-10
Business Address
ANSENIO CLARK MLT
1565 E TRINITY BLVD
MONTGOMERY, AL 36106-2897
Phone number: 334-440-4538
Mailing Address
ANSENIO CLARK MLT
1565 E TRINITY BLVD
MONTGOMERY, AL 36106-2897
Phone number: 334-440-4538
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