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Individual

CAROL JANE BENNETT CLAY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
411 N WASHINGTON AVE, DALLAS, TX 75246-1713
(945) 468-3809
Mailing address
914 NEWSOM RD, MESQUITE, TX 75149-5177

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT2593
TX

Other

Enumeration date
02/22/2024
Last updated
02/23/2024
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