Individual
KURT DAVID MCCLURG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
1147 SACO ST, MAUMEE, OH 43537-2916
(419) 893-8778
Mailing address
1527 WREN RD, BOWLING GREEN, OH 43402-9237
(419) 270-0152
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
AT-000005
OH
Other
Enumeration date
06/30/2006
Last updated
07/08/2007
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