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1598081143
ERICA LEE CLARK
POWELL, WY
NPI
1598081143
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
251C00000X Day Training, Developmentally Disabled Services
Enumeration Date
2010-04-07
Last Update Date
2010-04-07
Business Address
Mrs. ERICA LEE CLARK
425 W 3RD ST
POWELL, WY 82435-2304
Phone number: 307-202-2514
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Mailing Address
Mrs. ERICA LEE CLARK
425 W 3RD ST
POWELL, WY 82435-2304
Phone number: 307-202-2514
Copy
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