Individual
DR. CLARA JO MARCHINI
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AU.D.
Contact information
Practice address
2360 E PERSHING BLVD, CHEYENNE, WY 82001-5356
(307) 778-7550
Mailing address
244 LUPINE DR UNIT 306, FORT COLLINS, CO 80524-5336
(815) 761-8674
Taxonomy
Speciality
Code
Description
License number
State
231H00000X
Audiologist
Primary
147.001890
IL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
147.001890
STATE OF ILLINOIS DEPARTMENT OF FINANCIAL AND PROFESSIONAL REGULATION
IL
Enumeration date
08/18/2022
Last updated
08/25/2022
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