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Individual

YOLANDA PERDUE CLARK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
500 JOHN ALDRIDGE DR, TUSCUMBIA, AL 35674-3000
(610) 925-4253
Mailing address
19206 KENLEY WAY, BIRMINGHAM, AL 35242
(205) 307-8954

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
0197
AL

Other

Enumeration date
08/29/2013
Last updated
08/29/2013
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