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1205206158
JASMINE CLARK
LARAMIE, WY
NPI
1205206158
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2015-10-05
Last Update Date
2015-10-05
Business Address
-- JASMINE CLARK
4989 NORTH 3RD STREET
LARAMIE, WY 82072-9548
Phone number: 307-745-8997
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Mailing Address
-- JASMINE CLARK
4989 NORTH 3RD STREET
LARAMIE, WY 82072-9548
Phone number: 307-745-8997
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