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1457606832
JESSICA ANN CLARK
EAGLE, ID
NPI
1457606832
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Former Name
JESSICA EVENSTAD
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
231H00000X Audiologist
(Licence: ID AUD-2269)
Enumeration Date
2012-07-20
Last Update Date
2018-02-27
Business Address
JESSICA ANN CLARK Au.D.
3101 E STATE ST SUITE 2108
EAGLE, ID 83616-6232
Phone number: 208-489-4975
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Mailing Address
JESSICA ANN CLARK Au.D.
3101 E STATE ST SUITE 2108
EAGLE, ID 83616-6232
Phone number: 208-385-3480
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