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1538936489
LAURA ELIZABETH CLARK
KELSO, WA
NPI
1538936489
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Former Name
LAURA ELIZABETH LEFEBVRE
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
164W00000X Licensed Practical Nurse
(Licence: WA lp61013657)
Enumeration Date
2023-12-11
Last Update Date
2023-12-11
Business Address
LAURA ELIZABETH CLARK lpn
305 PACIFIC AVE S STE C
KELSO, WA 98626-1638
Phone number: 360-644-1047
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Mailing Address
LAURA ELIZABETH CLARK lpn
18458 POTTER RD
CLATSKANIE, OR 97016-2119
Phone number: 503-396-3737
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