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1114366168
KERRY R CLARK
SPOKANE, WA
NPI
1114366168
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Former Name
KERRY SCOTT
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: WA DI00000348)
Enumeration Date
2013-06-21
Last Update Date
2021-05-03
Business Address
KERRY R CLARK RD
101 W 8TH AVE SUITE 1100
SPOKANE, WA 99204-2307
Phone number: 509-474-4060
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Mailing Address
KERRY R CLARK RD
PO BOX 421
LIBERTY LAKE, WA 99019-0421
Phone number: 866-747-2455
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