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1811777394
DEMETRIA GODFREY CLARK
COLUMBIA, SC
NPI
1811777394
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
253Z00000X In Home Supportive Care
(Licence: SC BL002252-09-2023)
Enumeration Date
2023-10-03
Last Update Date
2023-10-03
Business Address
DEMETRIA GODFREY CLARK
4600 FORT JACKSON BLVD APT 124
COLUMBIA, SC 29209-1142
Phone number: 803-357-2268
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Mailing Address
DEMETRIA GODFREY CLARK
4600 FORT JACKSON BLVD APT 124
COLUMBIA, SC 29209-1142
Phone number: 803-238-9659
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