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1700527173
MADISON CLARK
WACO, TX
NPI
1700527173
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2022-04-07
Last Update Date
2022-04-07
Business Address
MADISON CLARK
1112 JAMES AVE APT A
WACO, TX 76706-2128
Phone number: 214-929-7545
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Mailing Address
MADISON CLARK
1112 JAMES AVE APT A
WACO, TX 76706-2128
Phone number: 214-929-7545
Copy
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