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Individual

BECKY LYNN CLARKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MRC

Contact information

Practice address
920 DEON DR, POCATELLO, ID 83201-3069
(986) 869-8383
Mailing address
920 DEON DR, POCATELLO, ID 83201-3069
(986) 869-8383

Taxonomy

Speciality
Code
Description
License number
State
225400000X
Rehabilitation Practitioner
Primary

Other

Enumeration date
01/09/2025
Last updated
01/09/2025
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