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1861108177
KOHLEE CLARK
REXBURG, ID
NPI
1861108177
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2023-01-30
Last Update Date
2023-01-30
Business Address
KOHLEE CLARK
859 S HWY 191 SUITE 202
REXBURG, ID 83440
Phone number: 307-257-5487
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Mailing Address
KOHLEE CLARK
PO BOX 20310 55984
CHEYENNE, WY 82003-7007
Phone number:
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