JUSTIN B CLARK

ABILENE, KS
NPI1487606380
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist Athletic Trainer
(Licence: KS  2400410)
Enumeration Date2006-05-17
Last Update Date2007-07-12
Business Address
JUSTIN B CLARK LAT, ATC
511 NE 10TH ST
ABILENE, KS 67410-2153
Phone number: 785-263-6664
Mailing Address
JUSTIN B CLARK LAT, ATC
511 NE 10TH ST PO BOX 123
ABILENE, KS 67410-2153
Phone number: 785-263-6664