Individual
GARY DEAN CLINTON
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
A.T.,C.
Contact information
Practice address
803 SHARON AVE E, MOSES LAKE HIGH SCHOOL, MOSES LAKE, WA 98837-2441
(509) 766-2666
Mailing address
9214 STONECREST RD NE, MOSES LAKE, WA 98837-9341
(509) 762-6476
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
04/27/2006
Last updated
07/08/2007
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