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1790460814
TINA MARIE CLARK
PORTSMOUTH, OH
NPI
1790460814
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
126800000X Dental Assistant
(Licence: OH 51.015003)
Enumeration Date
2023-06-16
Last Update Date
2023-06-16
Business Address
TINA MARIE CLARK
1539 JACKSON ST
PORTSMOUTH, OH 45662-4480
Phone number: 740-981-6276
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Mailing Address
TINA MARIE CLARK
VA MEDICAL CENTER 17273 STATE ROUTE 104
CHILLICOTHE, OH 45601-0999
Phone number: 740-773-1141
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