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1750846374
JOSIE LANAI CLARK
NORFOLK, NE
NPI
1750846374
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NE 2320)
Enumeration Date
2019-02-07
Last Update Date
2019-02-07
Business Address
JOSIE LANAI CLARK
1112 VERGES AVE
NORFOLK, NE 68701-3853
Phone number: 308-293-2504
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Mailing Address
JOSIE LANAI CLARK
902 ELM AVE
NORFOLK, NE 68701-3948
Phone number:
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