Individual
MR. CASEY WALKER CLENDENNEN JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2789 E LAKE RD APT 284, ABILENE, TX 79601-4846
(830) 613-6233
Mailing address
2789 E LAKE RD APT 284, ABILENE, TX 79601-4846
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
03/01/2018
Last updated
03/01/2018
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