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Individual

MRS. ALEXANDRIA H CLARK-MBURUNGA

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
849 6TH ST APT B, BOWLING GREEN, OH 43402-4193
(313) 400-4369
Mailing address
849 6TH ST APT B, BOWLING GREEN, OH 43402-4193
(313) 400-4369

Taxonomy

Speciality
Code
Description
License number
State
253Z00000X
In Home Supportive Care Agency
Primary
OH

Other

Enumeration date
05/02/2022
Last updated
05/02/2022
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