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1922767508
MICHELLE KIPP CLARK
AUGUSTA, GA
NPI
1922767508
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: GA RN220021)
Enumeration Date
2021-12-11
Last Update Date
2021-12-11
Business Address
Mrs. MICHELLE KIPP CLARK FNP-C
950 15TH ST
AUGUSTA, GA 30901-2608
Phone number: 706-733-0188
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Mailing Address
Mrs. MICHELLE KIPP CLARK FNP-C
3885 GRAPE AVE
AUGUSTA, GA 30909-9574
Phone number: 706-951-7051
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