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1699517821
ANSENIO CLARK
MONTGOMERY, AL
NPI
1699517821
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
291U00000X Clinical Medical Laboratory
Enumeration Date
2024-06-10
Last Update Date
2024-06-10
Business Address
ANSENIO CLARK MLT
1565 E TRINITY BLVD
MONTGOMERY, AL 36106-2897
Phone number: 334-440-4538
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Mailing Address
ANSENIO CLARK MLT
1565 E TRINITY BLVD
MONTGOMERY, AL 36106-2897
Phone number: 334-440-4538
Copy
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