REGINA ANN CLARK

JOHNSON CITY, TN
NPI1831234038
Former NameREGINA ANN WILSON
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2007-02-21
Last Update Date2007-07-08
Business Address
Mrs. REGINA ANN CLARK BS
109 W WATAUGA AVE
JOHNSON CITY, TN 37604-5621
Phone number: 423-232-2600
Mailing Address
Mrs. REGINA ANN CLARK BS
PO BOX 9054
GRAY, TN 37615-9054
Phone number: 423-467-3600
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