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Individual

MARY CLARK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
203 N PAGE ST, CHESTERFIELD, SC 29709-1201
(843) 623-2206
(843) 623-2469
Mailing address
203 N PAGE ST, CHESTERFIELD, SC 29709-1201
(843) 623-2206
(843) 623-2469

Taxonomy

Speciality
Code
Description
License number
State
163WH0200X
Home Health Registered Nurse
Primary
37156
SC

Other

Enumeration date
03/31/2014
Last updated
03/31/2014
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