MRS. Antoinette Sophia Clark, LPN
NPI #1902089717 in Georgetown, Ohio
Provider Information
- NPI Number
- 1902089717
- Entity Type
- Individual
- Name
- MRS. Antoinette Sophia Clark, LPN
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Licensed Practical Nurse
- Credential
- LPN
- Enumeration Date
- Dec 14, 2007
- Last Updated
- Jun 8, 2014
Practice Location
- Address
- 106 N WATER ST
- City
- Georgetown
- State
- Ohio
- ZIP Code
- 45121-1332
- Phone
- (513) 502-4772
Specialties & Taxonomy Codes
| Specialty |
|---|
| Licensed Practical Nurse |
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