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1053584292
JENNIFER ANN CLARK
LEWISTON, ID
NPI
1053584292
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
231H00000X Audiologist
(Licence: ID AUD-1728)
Enumeration Date
2008-04-09
Last Update Date
2010-04-28
Business Address
Ms. JENNIFER ANN CLARK
330 WARNER DR
LEWISTON, ID 83501-4441
Phone number: 208-746-0193
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Mailing Address
Ms. JENNIFER ANN CLARK
330 WARNER DR
LEWISTON, ID 83501-4441
Phone number: 208-746-0193
Copy
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