Julie Clark, AFC LICENSEE

NPI #1245800317 in Kalkaska, Michigan

Provider Information

NPI Number
1245800317
Entity Type
Individual
Name
Julie Clark, AFC LICENSEE
Gender
Not Specified
Sole Proprietor
Yes
Primary Specialty
Contractor
Credential
AFC LICENSEE
Enumeration Date
Jun 30, 2021
Last Updated
Jun 30, 2021

Practice Location

Address
1453 CEDAR CT NE
ZIP Code
49646-9704
Phone
(928) 701-6859

Specialties & Taxonomy Codes

Specialty
Contractor

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