ANGELIQUE CLARK

PARK RAPIDS, MN
NPI1659719938
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: MN  1472)
Enumeration Date2013-06-10
Last Update Date2013-06-10
Business Address
-- ANGELIQUE CLARK ATC
600 PLEASANT AVENUE
PARK RAPIDS, MN 56470
Phone number: 218-616-3019
Mailing Address
-- ANGELIQUE CLARK ATC
600 PLEASANT AVE S
PARK RAPIDS, MN 56470-1431
Phone number: 218-616-3019