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1306538293
BENJAMIN CLARK
AMES, IA
NPI
1306538293
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist Athletic Trainer
(Licence: IA 979AM3217)
Enumeration Date
2023-05-22
Last Update Date
2023-05-22
Business Address
BENJAMIN CLARK
534 WALLACE RD
AMES, IA 50011-4008
Phone number: 515-294-8009
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Mailing Address
BENJAMIN CLARK
3018 WOODLAND ST
AMES, IA 50014-3545
Phone number: 641-919-7317
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