Gregory Clark
Gregory Clark is a Community Health Worker in Proctorville, Ohio. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
59 Township Road 1419 # 2Proctorville, OH 45669-8816
Phone: (681) 888-1003
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Community Health Worker (primary) | Taxonomy 172V00000X |
|---|
Record details
| NPI number | 1386238764 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | February 25, 2021 |
| Last updated in NPPES | February 25, 2021 |
| Certification date | February 25, 2021 |
| Mailing address | 59 Township Road 1419 # 2, Proctorville, OH 45669-8816 |
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Vivian Riddle
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