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1023575891
KRISTEN CLARK
GRANTS PASS, OR
NPI
1023575891
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OR 1025091)
Enumeration Date
2019-02-27
Last Update Date
2019-02-27
Business Address
KRISTEN CLARK MS, ATC
537 UNION AVE
GRANTS PASS, OR 97527-5543
Phone number: 541-761-0048
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Mailing Address
KRISTEN CLARK MS, ATC
PO BOX 726
MERLIN, OR 97532-0726
Phone number: 541-761-0048
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