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1871151407
ANDREA WIGGINS CLARK
LOUISVILLE, KY
NPI
1871151407
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
246Z00000X Specialist/Technologist, Other
(Licence: KY 147578)
Enumeration Date
2019-05-29
Last Update Date
2019-05-29
Business Address
-- ANDREA WIGGINS CLARK DVM
9482 BROWNSBORO RD
LOUISVILLE, KY 40241-1118
Phone number: 502-412-6322
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Mailing Address
-- ANDREA WIGGINS CLARK DVM
9482 BROWNSBORO RD
LOUISVILLE, KY 40241-1118
Phone number: 502-412-6322
Copy
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