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Individual

ALSHICA HARPER CLEMENTS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
1317 6TH AVE, ALBANY, GA 31707-3612
(229) 854-5011
Mailing address
1317 6TH AVE, ALBANY, GA 31707-3612
(229) 854-5011

Taxonomy

Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary

Other

Enumeration date
05/31/2018
Last updated
05/31/2018
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