ANGELA L CLARKE

FORT HALL, ID
NPI1073768669
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: ID  PN 10202)
Enumeration Date2008-11-24
Last Update Date2008-11-24
Business Address
-- ANGELA L CLARKE PN
PIMA DRIVE
FORT HALL, ID 83203-0306
Phone number: 208-238-2400
Mailing Address
-- ANGELA L CLARKE PN
PO BOX 306
FORT HALL, ID 83203-0306
Phone number: 208-238-2400
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