NICOLE TM CLARK

PORTLAND, ME
NPI1841609484
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy207PS0010X Emergency Medicine, Sports Medicine
(Licence: ME  AT511)
Enumeration Date2014-08-07
Last Update Date2014-08-07
Business Address
Miss NICOLE TM CLARK ATC-L
267 OCEAN AVE
PORTLAND, ME 04103-5707
Phone number: 207-542-8233
Mailing Address
Miss NICOLE TM CLARK ATC-L
267 OCEAN AVE
PORTLAND, ME 04103-5707
Phone number: 207-542-8233
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