RICKY LYNN CLARK

BRANDON, MS
NPI1639608136
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MS  AT0557)
Enumeration Date2017-06-08
Last Update Date2017-06-08
Business Address
RICKY LYNN CLARK
904 MUNICIPAL DR
BRANDON, MS 39042-2973
Phone number: 601-724-7310
Mailing Address
RICKY LYNN CLARK
103 PINE CV
CLINTON, MS 39056-5825
Phone number:
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