Individual
AARON LEE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1118 HAMPSHIRE ST, QUINCY, IL 62301-3027
(217) 222-6550
Mailing address
5225 HINTON CT S, QUINCY, IL 62305-0734
(217) 209-1830
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
096-000900
IL
Other
Enumeration date
03/10/2006
Last updated
11/24/2014
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