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Individual

MARIE ALEXANDRA CLINCY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
1235 RAMSEY ST, FAYETTEVILLE, NC 28301-4401
(910) 433-3700
Mailing address
30 BARONS RUN E, SPRING LAKE, NC 28390-7012
(520) 220-7940

Taxonomy

Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
327695
NC
363LC1500X
Community Health Nurse Practitioner
Primary
5021270
NC

Other

Enumeration date
12/09/2024
Last updated
12/09/2024
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