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1811641319
JENEVIEVE LEE CLARK
BUTTE, MT
NPI
1811641319
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Former Name
JENEVIEVE LEE BAYLESS
Entity Type
Individual
Gender
N/A
Sole Proprietor ?
No
Primary Taxonomy
367A00000X Advanced Practice Midwife
(Licence: MT NUR-APRN-LIC-192285)
Enumeration Date
2022-02-04
Last Update Date
2024-04-10
Business Address
JENEVIEVE LEE CLARK CNM
400 S CLARK ST
BUTTE, MT 59701-2328
Phone number: 406-723-2500
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Mailing Address
JENEVIEVE LEE CLARK CNM
1640 LOWELL AVE
BUTTE, MT 59701-5451
Phone number: 406-366-2518
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