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1225770001
CLARKE HOLTER
TUSCALOOSA, AL
NPI
1225770001
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: AL 1817)
Enumeration Date
2022-04-11
Last Update Date
2022-04-11
Business Address
CLARKE HOLTER MS, ATC, NASM-PES, C
1201 COLISEUM DRIVE ROOM 314
TUSCALOOSA, AL 35487-0001
Phone number: 205-523-1628
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Mailing Address
CLARKE HOLTER MS, ATC, NASM-PES, C
11443 DYER LN
NORTHPORT, AL 35475-4968
Phone number: 205-523-1628
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