AARON LEE CLARK

QUINCY, IL
NPI1245208792
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IL  096-000900)
Enumeration Date2006-03-10
Last Update Date2014-11-24
Business Address
-- AARON LEE CLARK ATC
1118 HAMPSHIRE ST
QUINCY, IL 62301-3027
Phone number: 217-222-6550
Mailing Address
-- AARON LEE CLARK ATC
5225 HINTON CT S
QUINCY, IL 62305-0734
Phone number: 217-209-1830
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