JALITA LAUREN CLARK

COLUMBUS, GA
NPI1790175990
Former NameJALITA LAUREN DANIEL
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: GA  LPN070344)
Enumeration Date2015-01-27
Last Update Date2015-01-27
Business Address
-- JALITA LAUREN CLARK LPN
2100 COMER AVE
COLUMBUS, GA 31904-8725
Phone number: 706-596-5583
Mailing Address
-- JALITA LAUREN CLARK LPN
127 TWELVE OAKS DR
LAGRANGE, GA 30241-9647
Phone number: 912-614-8555
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