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1124487871
PATRICK CLARK O'DONNELL
HIGHLAND, IN
NPI
1124487871
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: FL AL5215)
Enumeration Date
2016-02-22
Last Update Date
2019-01-28
Business Address
Mr. PATRICK CLARK O'DONNELL ATC
3009 98TH ST
HIGHLAND, IN 46322-3343
Phone number: 219-588-0833
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Mailing Address
Mr. PATRICK CLARK O'DONNELL ATC
1244 ALAPAHA LN
ORLANDO, FL 32828-5229
Phone number: 219-588-0833
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