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1154073161
JERMAINE HERBERT CLARK
ANCHORAGE, AK
NPI
1154073161
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2022-01-20
Last Update Date
2022-01-20
Business Address
JERMAINE HERBERT CLARK
2330 NICHOLS ST
ANCHORAGE, AK 99508-3458
Phone number: 907-334-8606
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Mailing Address
JERMAINE HERBERT CLARK
2330 NICHOLS ST
ANCHORAGE, AK 99508-3458
Phone number: 907-334-8606
Copy
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