LORETTA A CLARK

SPOKANE, WA
NPI1720377278
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy305R00000X Preferred Provider Organization
(Licence: WA  ma60097219)
Enumeration Date2011-04-05
Last Update Date2014-11-10
Business Address
-- LORETTA A CLARK LMP
216 W PACIFIC AVE SUITE 205
SPOKANE, WA 99201-3661
Phone number: 509-413-7070
Mailing Address
-- LORETTA A CLARK LMP
539 E HEROY AVE
SPOKANE, WA 99207-1535
Phone number: 509-413-7070
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