ERIN D CLARK

FORT WAYNE, IN
NPI1427163989
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: IN  36001305A)
Enumeration Date2006-08-21
Last Update Date2007-07-08
Business Address
Mrs. ERIN D CLARK ATC
11225 PINE BANK CT
FORT WAYNE, IN 46845-1841
Phone number: 919-247-2831
Mailing Address
Mrs. ERIN D CLARK ATC
11225 PINE BANK CT
FORT WAYNE, IN 46845-1841
Phone number:
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