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1184163982
MICHAEL CLARK
AUBURN, NY
NPI
1184163982
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2017-02-14
Last Update Date
2017-02-14
Business Address
-- MICHAEL CLARK
19 SECOND AVE
AUBURN, NY 13021-5113
Phone number: 315-246-5078
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Mailing Address
-- MICHAEL CLARK
19 SECOND AVE
AUBURN, NY 13021-5113
Phone number: 315-246-5078
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