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1881114890
CLARK KOHOUT
KENNESAW, GA
NPI
1881114890
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
163W00000X Registered Nurse
(Licence: GA RN227507)
Enumeration Date
2017-06-21
Last Update Date
2017-06-21
Business Address
CLARK KOHOUT RN
1291 STANLEY RD NW
KENNESAW, GA 30152-4359
Phone number: 770-427-0147
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Mailing Address
CLARK KOHOUT RN
1291 STANLEY RD NW
KENNESAW, GA 30152-4359
Phone number: 770-427-0147
Copy
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