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1790488674
BRIAN CLARK
MARIETTA, GA
NPI
1790488674
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2023-03-22
Last Update Date
2023-03-22
Business Address
BRIAN CLARK DO
677 CHURCH ST NE
MARIETTA, GA 30060-1101
Phone number: 770-793-7742
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Mailing Address
BRIAN CLARK DO
677 CHURCH ST NE
MARIETTA, GA 30060-1101
Phone number: 770-793-7742
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