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1316354145
ANNIE CLARK
JOPLIN, MO
NPI
1316354145
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2014-07-14
Last Update Date
2014-07-14
Business Address
-- ANNIE CLARK
3230 WISCONSIN AVE
JOPLIN, MO 64804-4029
Phone number: 417-347-7600
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Mailing Address
-- ANNIE CLARK
1105 E 32ND ST
JOPLIN, MO 64804-2879
Phone number: 417-347-7600
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