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Individual

DEBORAH CLARK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
201 GOVERNMENT CIR, GREENVILLE, NC 27834-8198
(252) 902-2357
Mailing address
201 GOVERNMENT CIR, GREENVILLE, NC 27834-8198

Taxonomy

Speciality
Code
Description
License number
State
163WC1500X
Community Health Registered Nurse
Primary
071824
NC

Other

Enumeration date
02/08/2007
Last updated
07/08/2007
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