Individual
JADEAN PAULINE CLARK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
ATC
Contact information
Practice address
1216 E 10TH ST, PLANKINTON, SD 57368-2045
(605) 680-2477
Mailing address
1216 E 10TH ST, PLANKINTON, SD 57368-2045
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
—
SD
Other
Enumeration date
09/19/2023
Last updated
09/19/2023
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