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Donta Clark
NPI 1770246514 · on the registry since 2021 · sole proprietor
Practice
- Address
- 106 Shemper Dr Apt 3
Hattiesburg, MS 39401 - Phone
- (601) 329-5875
Registry record
- Primary taxonomy
- 374U00000X
374U00000X
- Sex
- Female
- Record last updated
- 2021-10-22
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