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1124236146
CAMERON KEITH CLARK
WICHITA, KS
NPI
1124236146
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: KS 24-00037)
Enumeration Date
2007-05-21
Last Update Date
2014-04-28
Business Address
-- CAMERON KEITH CLARK L.ATC
3100 W MCCORMICK ST
WICHITA, KS 67213-2008
Phone number: 316-942-4291
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Mailing Address
-- CAMERON KEITH CLARK L.ATC
3100 W MCCORMICK ST
WICHITA, KS 67213-2008
Phone number: 316-942-4291
Copy
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