ISAIAH JORDAN CLARK

SITKA, AK
NPI1417184961
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy324500000X Substance Abuse Rehabilitation Facility
Enumeration Date2009-06-11
Last Update Date2009-06-11
Business Address
-- ISAIAH JORDAN CLARK
701 INDIAN RIVER RD
SITKA, AK 99835-7480
Phone number: 907-747-3636
Mailing Address
-- ISAIAH JORDAN CLARK
701 INDIAN RIVER RD
SITKA, AK 99835-7480
Phone number:
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