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1740990910
AUTUMN CONLEY-CLARK
MANSFIELD, OH
NPI
1740990910
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: OH LPN.124514)
Enumeration Date
2022-11-29
Last Update Date
2022-11-29
Business Address
AUTUMN CONLEY-CLARK LPN
1025 S TRIMBLE RD
MANSFIELD, OH 44906-3427
Phone number: 419-529-4602
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Mailing Address
AUTUMN CONLEY-CLARK LPN
2011 WILLOWOOD CT
ONTARIO, OH 44906-1759
Phone number:
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