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1245800317
JULIE CLARK
KALKASKA, MI
NPI
1245800317
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171W00000X Contractor
Enumeration Date
2021-06-30
Last Update Date
2021-06-30
Business Address
JULIE CLARK AFC Licensee
1453 CEDAR CT NE
KALKASKA, MI 49646-9704
Phone number: 928-701-6859
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Mailing Address
JULIE CLARK AFC Licensee
1453 CEDAR CT NE
KALKASKA, MI 49646-9704
Phone number: 928-701-6859
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