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Brandi Clark
NPI 1215283569 · on the registry since 2012 · sole proprietor
Practice
- Address
- 605 Stanley Ave
Columbus, OH 43206 - Phone
- (614) 209-0790
- Organisation at this address
- Grace Support Services
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 374U00000X
374U00000X
- Sex
- Female
- Record last updated
- 2012-07-24
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Ohio