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1306172721
NICHOLAS EUGENE CLARK
IRVING, TX
NPI
1306172721
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: TX AT3288)
Enumeration Date
2009-10-20
Last Update Date
2009-10-20
Business Address
Mr. NICHOLAS EUGENE CLARK LAT, ATC
8401 VALLEY RANCH PKWY E
IRVING, TX 75063-5405
Phone number: 972-968-5061
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Mailing Address
Mr. NICHOLAS EUGENE CLARK LAT, ATC
8401 VALLEY RANCH PKWY E
IRVING, TX 75063-5405
Phone number: 972-968-5061
Copy
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