GEORGIANNE M CLARK

CLARKSTON, WA
NPI1831066984
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy156FX1800X Technician/Technologist, Optician
(Licence: WA  OPTI.DO.61617192)
Enumeration Date2025-10-22
Last Update Date2025-10-22
Business Address
Mrs. GEORGIANNE M CLARK
306 5TH ST
CLARKSTON, WA 99403-1860
Phone number: 509-758-9470
Mailing Address
Mrs. GEORGIANNE M CLARK
1239 VINEYARD AVE
LEWISTON, ID 83501-4271
Phone number: 509-758-9470
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