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1265453948
SHARON V CLARK
MADISON, WI
NPI
1265453948
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WI 153-039)
Enumeration Date
2006-07-21
Last Update Date
2007-07-08
Business Address
-- SHARON V CLARK LAT
621 SCIENCE DR
MADISON, WI 53711-1074
Phone number: 608-263-4765
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Mailing Address
-- SHARON V CLARK LAT
5910 DRIFTWOOD AVE
MADISON, WI 53705-4418
Phone number: 608-231-6764
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