MS. Shauna Clark

NPI #1528414497 in Pomeroy, Ohio

Provider Information

NPI Number: 1528414497
Entity Type: Individual
Name: MS. Shauna Clark
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Technician, Other
Enumeration Date: May 10, 2016
Last Updated: May 10, 2016

Practice Location

Address: 700 E MAIN ST
City: Pomeroy
State: Ohio
ZIP Code: 45769-1115
Phone: (740) 992-1536

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Technician, Other	247200000X	Primary

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