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NICOLE CLEMENTS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
ATC, LAT

Contact information

Practice address
825 SE BISHOP BLVD, SUITE 120, PULLMAN, WA 99163-5517
(509) 332-2828
(509) 334-7474
Mailing address
825 SE BISHOP BLVD, SUITE 120, PULLMAN, WA 99163-5517
(509) 332-2828
(509) 334-7474

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A160588830
WA
2255A2300X
Athletic Trainer
AT-554
ID

Other

Enumeration date
08/19/2015
Last updated
08/19/2015
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