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1114470168
WILLIAM CLARK
CONROE, TX
NPI
1114470168
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX AT1497)
Enumeration Date
2016-07-26
Last Update Date
2016-07-26
Business Address
Mr. WILLIAM CLARK ATC, LAT
3200 W DAVIS ST
CONROE, TX 77304-2040
Phone number: 936-709-5793
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Mailing Address
Mr. WILLIAM CLARK ATC, LAT
3200 W DAVIS ST
CONROE, TX 77304-2040
Phone number: 936-709-5793
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