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Sandra Clark, RT(R)
NPI 1578692463 · on the registry since 2007 · sole proprietor
Practice
- Address
- 139 County Road 379
Water Valley, MS 38965 - Phone
- (662) 514-5215
- Organisation at this address
- Jason H Clark & Sandra J Clark
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 2471C3402X
2471C3402X
- Licence states on file
- MS
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2007-07-09
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 Mississippi