RYAN ALEXANDER CLARK

MOORE, OK
NPI1518458611
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: OK  1060)
Enumeration Date2018-05-23
Last Update Date2019-04-08
Business Address
Mr. RYAN ALEXANDER CLARK LAT, ATC
2901 S SANTA FE AVE
MOORE, OK 73160-2843
Phone number: 405-735-4900
Mailing Address
Mr. RYAN ALEXANDER CLARK LAT, ATC
2612 JEFFERSON DR
MOORE, OK 73160-4194
Phone number: 405-778-4088
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