JONATHAN DANIEL CLARK

MADISON, AL
NPI1932508165
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist Athletic Trainer
(Licence: AL  1378)
Enumeration Date2014-08-13
Last Update Date2014-08-13
Business Address
JONATHAN DANIEL CLARK MS, LAT, ATC
11306 COUNTY LINE RD
MADISON, AL 35756-2011
Phone number: 256-216-5313
Mailing Address
JONATHAN DANIEL CLARK MS, LAT, ATC
925 FRANKLIN ST SE STE A
HUNTSVILLE, AL 35801-4307
Phone number: 256-265-5000
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