JERRALD CLARK

TUBA CITY, AZ
NPI1518410448
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy376K00000X Nurse's Aide
Enumeration Date2016-07-27
Last Update Date2016-07-27
Business Address
Mr. JERRALD CLARK
167 NORTH MAIN STREET
TUBA CITY, AZ 86045-0600
Phone number: 928-283-2094
Mailing Address
Mr. JERRALD CLARK
PO BOX 600
TUBA CITY, AZ 86045-0600
Phone number: 928-283-2094
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