BRIAN CLARK

ELK GROVE, CA
NPI1538618277
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2016-09-22
Last Update Date2016-09-22
Business Address
Mr. BRIAN CLARK ATC
9950 BRUCEVILLE RD APT 147
ELK GROVE, CA 95757-9511
Phone number: 916-513-0964
Mailing Address
Mr. BRIAN CLARK ATC
9950 BRUCEVILLE RD APT 147
ELK GROVE, CA 95757-9511
Phone number:
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