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1639840911
MARY E CLARK
OROFINO, ID
NPI
1639840911
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
183700000X Pharmacy Technician
(Licence: ID 30178781)
Enumeration Date
2021-09-25
Last Update Date
2021-09-25
Business Address
MARY E CLARK CPht
1105 MICHIGAN AVE
OROFINO, ID 83544-9005
Phone number: 208-476-3600
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Mailing Address
MARY E CLARK CPht
89 SUNNYSIDE BENCH RD
LENORE, ID 83541-5028
Phone number: 208-451-6535
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