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1083675672
TAMMY V CLARK
FREDERICKSBURG, VA
NPI
1083675672
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: VA 0126000820)
Enumeration Date
2006-03-31
Last Update Date
2007-07-08
Business Address
Ms. TAMMY V CLARK ATC
2300 WASHINGTON AVE
FREDERICKSBURG, VA 22401-3340
Phone number: 540-372-1100
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Mailing Address
Ms. TAMMY V CLARK ATC
11150 SUNBURST LN APT. A
FREDERICKSBURG, VA 22407-7654
Phone number: 540-898-4655
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