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1760879597
LAURA E CLARK
PUEBLO, CO
NPI
1760879597
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date
2015-04-20
Last Update Date
2015-04-20
Business Address
-- LAURA E CLARK MS ,ATC
2200 BONFORTE BLVD
PUEBLO, CO 81001
Phone number: 719-549-2807
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Mailing Address
-- LAURA E CLARK MS ,ATC
2200 BONFORTE BLVD
PUEBLO, CO 81001
Phone number:
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