CLARK SEBASTIAN SHIRLEY

MESA, AZ
NPI1386054468
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist Athletic Trainer
(Licence: AZ  1142)
Enumeration Date2014-04-29
Last Update Date2014-04-29
Business Address
MR. CLARK SEBASTIAN SHIRLEY AT, ATC
7311 E SOUTHERN AVE APT 2034
MESA, AZ 85209-2712
Phone number: 413-348-3145
Mailing Address
MR. CLARK SEBASTIAN SHIRLEY AT, ATC
7311 E SOUTHERN AVE APT 2034
MESA, AZ 85209-2712
Phone number: 413-348-3145
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