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1689015075
MELANIE DAWN CLARK
IDAHO FALLS, ID
NPI
1689015075
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Former Name
MELANIE DAWN POPIEN
Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: ID ODP-100278)
Enumeration Date
2013-07-12
Last Update Date
2013-07-12
Business Address
Dr. MELANIE DAWN CLARK O.D.
1480 E LINCOLN RD
IDAHO FALLS, ID 83401-2128
Phone number: 208-525-8686
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Mailing Address
Dr. MELANIE DAWN CLARK O.D.
3731 E 100 N
RIGBY, ID 83442-5612
Phone number: 208-351-6616
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