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Brantley Clark

Non-licensedLicense GA-2023-0787
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Provider Information

First Name
Brantley
Last Name
Clark
License Number
GA-2023-0787
License Prefix
GA
Provider Type
Non-licensed
Status
Not listed
County
Not listed
State
GA
GEMSIS ID
fdf38569-456d-4cff-b87e-4cca8e4a332c

Grade

Grade not yet available.

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