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1518413228
TIMOTHY H CLARK
RIVERSIDE, CA
NPI
1518413228
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2016-09-01
Last Update Date
2016-09-01
Business Address
-- TIMOTHY H CLARK ATC
8432 MAGNOLIA AVE
RIVERSIDE, CA 92504
Phone number: 951-552-8512
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Mailing Address
-- TIMOTHY H CLARK ATC
243 MONTANA DEL LAGO DRIVE
RANCHO SANTA MARGARITA, CA 92688
Phone number: 714-883-6133
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