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1609424183
CHANEL CLARK
INDIAN VALLEY, ID
NPI
1609424183
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
133V00000X Dietitian, Registered
(Licence: ID D-859)
Enumeration Date
2019-08-28
Last Update Date
2019-08-28
Business Address
CHANEL CLARK RDN, LD
2278 MORITZ LN
INDIAN VALLEY, ID 83632-5019
Phone number: 208-816-8365
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Mailing Address
CHANEL CLARK RDN, LD
2278 MORITZ LN
INDIAN VALLEY, ID 83632-5019
Phone number:
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