Individual
MR. JEFFREY CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
AT/ATC/CES
Contact information
Practice address
315 REBER AVE, LANCASTER, OH 43130-1761
(740) 503-8092
Mailing address
315 REBER AVE, LANCASTER, OH 43130-1761
(740) 503-8092
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT 1582
OH
Other
Enumeration date
03/18/2015
Last updated
03/18/2015
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