STACEY J CLARKE

LA GRANDE, OR
NPI1437157260
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy213ES0103X Podiatrist Foot & Ankle Surgery
(Licence: OR  DP00283)
Enumeration Date2005-07-14
Last Update Date2017-10-10
Business Address
STACEY J CLARKE D.P.M.
1408 N HALL ST
LA GRANDE, OR 97850-3807
Phone number: 541-963-0265
Mailing Address
STACEY J CLARKE D.P.M.
1408 N HALL ST
LA GRANDE, OR 97850-3807
Phone number: 541-963-0265
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