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1518740091
CLARK FAMILY MEDICINE
POCATELLO, ID
NPI
1518740091
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Entity Type
Organization
Authorized Contact
SHARLA CLARK
Owner/Physician
208-595-6976
Organization Subpart ?
No
Primary Taxonomy
207Q00000X Family Medicine
Enumeration Date
2023-08-17
Last Update Date
2023-08-17
Business Address
CLARK FAMILY MEDICINE
1246 YELLOWSTONE AVE STE A2
POCATELLO, ID 83201-4372
Phone number: 208-595-6976
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Mailing Address
CLARK FAMILY MEDICINE
1246 YELLOWSTONE AVE STE A2
POCATELLO, ID 83201-4372
Phone number: 208-595-6976
Copy
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