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1104307149
CALLIE ANN CLARK
DEVILS LAKE, ND
NPI
1104307149
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2018-08-28
Last Update Date
2018-08-28
Business Address
CALLIE ANN CLARK
524 4TH AVE NE UNIT 19
DEVILS LAKE, ND 58301-2400
Phone number: 701-662-7050
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Mailing Address
CALLIE ANN CLARK
524 4TH AVE NE UNIT 19
DEVILS LAKE, ND 58301-2400
Phone number: 701-662-7050
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