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1487297065
CHRISTOPHER MARVIN CLARK
JACKSONVILLE, AL
NPI
1487297065
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: AL 857)
Enumeration Date
2019-10-25
Last Update Date
2019-10-25
Business Address
CHRISTOPHER MARVIN CLARK ATC
700 PELHAM RD N
JACKSONVILLE, AL 36265-1602
Phone number: 256-782-5514
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Mailing Address
CHRISTOPHER MARVIN CLARK ATC
1151 LAKE FOREST DR N
SOUTHSIDE, AL 35907-7111
Phone number: 256-613-2384
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