MACKENZIE MARIE CLARK

FORT WAYNE, IN
NPI1306248398
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN  36001685A)
Enumeration Date2014-09-22
Last Update Date2016-03-08
Business Address
-- MACKENZIE MARIE CLARK MS, LAT, ATC
11130 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845-1735
Phone number: 812-598-7583
Mailing Address
-- MACKENZIE MARIE CLARK MS, LAT, ATC
11130 PARKVIEW CIRCLE DR
FORT WAYNE, IN 46845-1735
Phone number: 812-598-7583
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