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Individual

MRS. LAURA CLARKE

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ATC

Contact information

Practice address
5196 HOLLY FARMS DR, VIRGINIA BEACH, VA 23462-1933
(757) 450-6136
Mailing address
5196 HOLLY FARMS DR, VIRGINIA BEACH, VA 23462-1933
(757) 450-6136

Taxonomy

Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary

Other

Enumeration date
08/17/2006
Last updated
12/05/2014
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