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1154564516
LORA J CLARK
HARRISBURG, SD
NPI
1154564516
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2009-04-15
Last Update Date
2015-01-28
Business Address
-- LORA J CLARK MS, ATC
406 COLUMBIA ST
HARRISBURG, SD 57032
Phone number: 605-359-9506
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Mailing Address
-- LORA J CLARK MS, ATC
PO BOX 436
HARRISBURG, SD 57032-0436
Phone number:
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