AUSTIN ROY CLARK

LOUISVILLE, KY
NPI1326605080
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date2019-05-28
Last Update Date2019-05-28
Business Address
AUSTIN ROY CLARK
500 S PRESTON ST RM 305
LOUISVILLE, KY 40202-1702
Phone number: 502-852-8696
Mailing Address
AUSTIN ROY CLARK
500 S PRESTON ST RM 305
LOUISVILLE, KY 40202-1702
Phone number: 502-852-8696
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