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1245677467
MARK LAKE
AKRON, OH
NPI
1245677467
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OH 002955)
Enumeration Date
2013-05-29
Last Update Date
2013-05-29
Business Address
-- MARK LAKE ATC
1767 HAMPTON KNOLL DR
AKRON, OH 44313-4878
Phone number: 330-972-7503
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Mailing Address
-- MARK LAKE ATC
1767 HAMPTON KNOLL DR
AKRON, OH 44313-4878
Phone number:
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