Individual
OLGA M CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
9 AKULMIUT ROAD, KASIGLUK, AK 99609
(904) 777-6210
(907) 477-6120
Mailing address
PO BOX 99, KASIGLUK, AK 99609-0099
(904) 777-6210
(907) 477-6120
Taxonomy
Speciality
Code
Description
License number
State
172V00000X
Community Health Worker
Primary
—
—
Other
Enumeration date
10/28/2015
Last updated
10/28/2015
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