JAE H CLARK

PHILADELPHIA, PA
NPI1760247811
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: PA  RT005767)
Enumeration Date2024-02-19
Last Update Date2024-02-19
Business Address
JAE H CLARK ATC, LAT
1651 BENJAMIN FRANKLIN PKWY
PHILADELPHIA, PA 19103-1284
Phone number: 215-303-4818
Mailing Address
JAE H CLARK ATC, LAT
2230 GRAHAM ST
PHILADELPHIA, PA 19131-2203
Phone number: 215-303-4818
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