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Individual
JAMES COLBERT CLARK III
Active
Individual
JAMES COLBERT CLARK III
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
J3-0010865
DE
Other
Enumeration date
02/21/2019
Last updated
11/30/2022
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