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1942971312
BRYAN CLARK
MORGANTOWN, WV
NPI
1942971312
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2255A2300X Specialist/Technologist, Athletic Trainer
(Licence: WV AT001719)
Enumeration Date
2021-09-24
Last Update Date
2021-09-24
Business Address
BRYAN CLARK LAT, ATC
109 WILSON AVE
MORGANTOWN, WV 26501-7521
Phone number: 304-291-9260
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Mailing Address
BRYAN CLARK LAT, ATC
8010 KAUSTIN DR
MORGANTOWN, WV 26501-7210
Phone number: 719-760-9747
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