MAVERIC CHASE CLARKE

LOGAN, UT
NPI1497555049
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy171M00000X Case Manager/Care Coordinator
Enumeration Date2025-03-13
Last Update Date2025-03-19
Business Address
MAVERIC CHASE CLARKE A.S.
90 E 200 N
LOGAN, UT 84321-4034
Phone number: 435-752-0750
Mailing Address
MAVERIC CHASE CLARKE A.S.
164 CROCKETT AVE
LOGAN, UT 84321-6024
Phone number:
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