NICHOLAS CLARK

EVANSTON, WY
NPI1538657465
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy164W00000X Licensed Practical Nurse
(Licence: WY  8096)
Enumeration Date2018-04-26
Last Update Date2018-05-29
Business Address
NICHOLAS CLARK LPN
350 CITY VIEW DR STE 206
EVANSTON, WY 82930
Phone number: 307-789-7915
Mailing Address
NICHOLAS CLARK LPN
350 CITY VIEW DR STE 206
EVANSTON, WY 82930-5326
Phone number: 307-789-7915
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