CAMIEL CLARK

POCATELLO, ID
NPI1821534439
Former NameCAMIEL LYNN EBERLINE
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy225X00000X Occupational Therapist
(Licence: ID  OT-1635)
Enumeration Date2017-01-06
Last Update Date2017-01-06
Business Address
-- CAMIEL CLARK OTR/L
1071 RENEE AVE
POCATELLO, ID 83201-2508
Phone number: 208-233-1411
Mailing Address
-- CAMIEL CLARK OTR/L
1615 E CLARK ST
POCATELLO, ID 83201-4049
Phone number: 907-252-7295
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