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Baylie Clark, ATS
Student in an Organized Health Care Education/Training Program in Spicer, Minnesota
NPI 1700251295

Baylie Clark is a Student in an Organized Health Care Education/Training Program based in Spicer, MN. Baylie Clark practices in Spicer, MN and has the professional credentials of ATS. The NPI Number for Baylie Clark is 1700251295 and holds a License No. 2255A2300X (Minnesota).

The current practice location address for Baylie Clark is 12381 N Shore Dr, Spicer, MN and can be reached out via phone at 320-905-4477.

Location: 12381 N Shore Dr, Spicer, MN, 56288-9576
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1700251295
Provider Name
Baylie Clark
Credential
ATS
Provider Entity Type
Individual
Gender
Female
Address
12381 N Shore Dr, Spicer, MN, 56288-9576
Phone Number
320-905-4477
Fax Number
Provider Enumeration Date
12/09/2015
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
12381 N Shore Dr
City
Spicer
State
Minnesota
Zip
56288-9576
Phone Number
320-905-4477
Fax Number
person
Provider Business Mailing Address Details
Address
12381 N Shore Dr
City
Spicer
State
Minnesota
Zip
56288-9576
Phone Number
320-905-4477
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
2255A2300X (Minnesota)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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