Individual
GAYLE D CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
206 W 3RD ST, ALDA, NE 68810-9753
(308) 379-6241
Mailing address
206 W 3RD ST, ALDA, NE 68810-9753
(308) 379-6241
Taxonomy
Speciality
Code
Description
License number
State
372600000X
Adult Companion
Primary
—
NE
Other
Enumeration date
03/26/2025
Last updated
03/26/2025
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