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Individual

MR. JOHN PHILIP CLARKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CPO

Contact information

Practice address
118 NASH ST E, SUITE E, WILSON, NC 27893
(252) 881-0118
Mailing address
2302 NASH ST N # E-400, WILSON, NC 27896-1741
(252) 881-0090
(252) 881-0090

Taxonomy

Speciality
Code
Description
License number
State
222Z00000X
Orthotist
224P00000X
Prosthetist
Primary

Other

Enumeration date
05/08/2013
Last updated
03/20/2019
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