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1982022562
MARY CLARK
ALCOLU, SC
NPI
1982022562
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
343900000X Non-emergency Medical Transport (VAN)
(Licence: DC 3205095)
Enumeration Date
2014-04-01
Last Update Date
2014-04-01
Business Address
-- MARY CLARK
2957 BROGDON RD
ALCOLU, SC 29001-8637
Phone number: 202-403-7850
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Mailing Address
-- MARY CLARK
2957 BROGDON RD
ALCOLU, SC 29001-8637
Phone number: 202-403-7850
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