Individual
MR. CLINT LEE ANGLIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC,LAT
Contact information
Practice address
1504 SE 28TH ST, BENTONVILLE, AR 72712-3988
(479) 273-1111
(479) 273-1255
Mailing address
1504 SE 28TH ST, BENTONVILLE, AR 72712-3988
(479) 273-1111
(479) 273-1255
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
—
Other
Enumeration date
12/10/2009
Last updated
12/10/2009
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