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1346511094
PETER JAMES CLARK
SPOKANE, WA
NPI
1346511094
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WA A160047423)
Enumeration Date
2012-01-25
Last Update Date
2012-01-25
Business Address
-- PETER JAMES CLARK ATC, AT-L, CSCS, MA
502 E BOONE AVE AD BOX 66
SPOKANE, WA 99258-1774
Phone number: 509-313-5591
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Mailing Address
-- PETER JAMES CLARK ATC, AT-L, CSCS, MA
502 E BOONE AVE AD BOX 66
SPOKANE, WA 99258-1774
Phone number: 509-313-5591
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