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LAURA CLARK

>> Specialist >> Other Service Providers

Registrant NPI Number: 1821220575

Individual Registrant:
 LAURA  CLARK 
Gender: F
Not Sole Proprietor

Location and contact information for practice:
283 WINSLOW WAY  BETHLEHEM, GA 30620-3248 US
Tel: 678-361-1117  Fax: --

Contact information for business:
283 WINSLOW WAY  BETHLEHEM, GA 30620-3248 US
Tel: --  Fax: --

Registration Information:
NPI: 1821220575
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y174400000XOther Service Providers
Specialist
GA37433

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




HEALTH CARE JOBS GA - Page 1



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