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1184924201
KATHERINE NICOLE CLARK
WICHITA, KS
NPI
1184924201
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2010-10-22
Last Update Date
2010-10-22
Business Address
-- KATHERINE NICOLE CLARK
3223 N OLIVER ST
WICHITA, KS 67220-2106
Phone number: 316-267-5437
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Mailing Address
-- KATHERINE NICOLE CLARK
3223 N OLIVER ST
WICHITA, KS 67220-2106
Phone number:
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