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Mrs. Amanda Alyce Clark
Student in an Organized Health Care Education/Training Program in Canton, Ohio
NPI 1215329891

Amanda Alyce Clark is a Student in an Organized Health Care Education/Training Program based in Canton, OH. Amanda Alyce Clark practices in Canton, OH. The NPI Number for Amanda Alyce Clark is 1215329891 and holds a License No. (Ohio).

The current practice location address for Amanda Alyce Clark is 919 2Nd St Ne, Canton, OH and can be reached out via phone at 330-933-2339 and via fax at 330-454-1476.

Location: 919 2Nd St Ne, Canton, OH, 44704-1132
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1215329891
Provider Name
Amanda Alyce Clark
Credential
Provider Entity Type
Individual
Gender
Female
Address
919 2Nd St Ne, Canton, OH, 44704-1132
Phone Number
330-933-2339
Fax Number
330-454-1476
Provider Enumeration Date
02/19/2015
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0290822 05 OH
institution
Provider Business Practice Location Address Details
Address
919 2Nd St Ne
City
Canton
State
Ohio
Zip
44704-1132
Phone Number
330-933-2339
Fax Number
330-454-1476
person
Provider Business Mailing Address Details
Address
919 2Nd St Ne
City
Canton
State
Ohio
Zip
44704-1132
Phone Number
330-933-2339
Fax Number
330-454-1476
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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