PETER MICHAEL CLARK

WESTBROOK, ME
NPI1891789087
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: ME  AT226)
Enumeration Date2005-09-02
Last Update Date2007-07-08
Business Address
-- PETER MICHAEL CLARK ATC, CSCS
23 BRIDGTON RD
WESTBROOK, ME 04092-3653
Phone number: 207-797-3477
Mailing Address
-- PETER MICHAEL CLARK ATC, CSCS
96 GRANDVIEW AVE
SOUTH PORTLAND, ME 04106-6114
Phone number:
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