Baylie Clark, ATS

NPI #1700251295 in Spicer, Minnesota

Provider Information

NPI Number: 1700251295
Entity Type: Individual
Name: Baylie Clark, ATS
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Student in an Organized Health Care Education/Training Program
Credential: ATS
Enumeration Date: Dec 9, 2015
Last Updated: Dec 9, 2015

Practice Location

Address: 12381 N SHORE DR
City: Spicer
State: Minnesota
ZIP Code: 56288-9576
Phone: (320) 905-4477

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Student in an Organized Health Care Education/Training Program	390200000X	Primary

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