ADRIENNE RENEE CLARK

KOKOMO, IN
NPI1386913879
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN  36001446A)
Enumeration Date2011-12-29
Last Update Date2011-12-29
Business Address
Mrs. ADRIENNE RENEE CLARK ATC/LAT
2312 S DIXON RD SUITE 250
KOKOMO, IN 46902-6401
Phone number: 765-455-2122
Mailing Address
Mrs. ADRIENNE RENEE CLARK ATC/LAT
101 S CHURCH ST
ELWOOD, IN 46036-8426
Phone number: 765-437-1117
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