ALBERT WAYNE CLARK

SPRINGFIELD, OR
NPI1588150965
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy374U00000X Home Health Aide
Enumeration Date2018-07-09
Last Update Date2018-07-09
Business Address
Mr. ALBERT WAYNE CLARK
4343 MAIN ST
SPRINGFIELD, OR 97478-7647
Phone number: 541-200-7037
Mailing Address
Mr. ALBERT WAYNE CLARK
4343 MAIN ST
SPRINGFIELD, OR 97478-7647
Phone number: 541-200-7037
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