CARLIE CLARK

DAYTON, OH
NPI1114383122
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OH  AT.003570)
Enumeration Date2016-01-06
Last Update Date2016-01-06
Business Address
-- CARLIE CLARK ATC, LAT, CES
725 UNIVERSITY BLVD
DAYTON, OH 45435-0001
Phone number: 937-245-7559
Mailing Address
-- CARLIE CLARK ATC, LAT, CES
1206 DICKENS DR APT A
FAIRBORN, OH 45324-8790
Phone number: 614-203-4805
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