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Individual

MARTIN L CLARK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
LMT

Contact information

Practice address
120 N CARDINAL EXTENSION DR STE 105, WILMINGTON, NC 28405-2484
(267) 382-9798
Mailing address
603 CHESTNUT ST # A, WILMINGTON, NC 28401-4142
(267) 382-9798

Taxonomy

Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
20373
NC

Other

Enumeration date
05/26/2023
Last updated
05/26/2023
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