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1487047767
STEPHANIE LYNN CLARK
ELKVIEW, WV
NPI
1487047767
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WV 50665)
Enumeration Date
2015-03-11
Last Update Date
2015-03-11
Business Address
Miss STEPHANIE LYNN CLARK ATC
105 CREDES LNDG
ELKVIEW, WV 25071-8185
Phone number: 304-965-7979
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Mailing Address
Miss STEPHANIE LYNN CLARK ATC
1 ALEXA WAY APT 4
ELKVIEW, WV 25071-9473
Phone number: 304-904-5531
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