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1538618277
BRIAN CLARK
ELK GROVE, CA
NPI
1538618277
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2016-09-22
Last Update Date
2016-09-22
Business Address
Mr. BRIAN CLARK ATC
9950 BRUCEVILLE RD APT 147
ELK GROVE, CA 95757-9511
Phone number: 916-513-0964
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Mailing Address
Mr. BRIAN CLARK ATC
9950 BRUCEVILLE RD APT 147
ELK GROVE, CA 95757-9511
Phone number:
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