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Individual

MRS. SANDRA SINGLETON CLARK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
REGISTERED NURSE

Contact information

Practice address
157 PARAGON PKWY, CLYDE, NC 28721-9463
(828) 452-6675
Mailing address
181 JOHNS CREEK RD, CANTON, NC 28716-5583
(828) 235-9188

Taxonomy

Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
053719
NC

Other

Enumeration date
09/22/2006
Last updated
09/06/2012
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