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1013485713
CHARLES NICHOLSON CLARK
KERRVILLE, TX
NPI
1013485713
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: TX AP139709)
Enumeration Date
2018-11-12
Last Update Date
2022-08-22
Business Address
CHARLES NICHOLSON CLARK FNP
575 HILL COUNTRY DR STE 301
KERRVILLE, TX 78028-6024
Phone number: 830-258-7762
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Mailing Address
CHARLES NICHOLSON CLARK FNP
575 HILL COUNTRY DR STE 101
KERRVILLE, TX 78028-6024
Phone number: 830-258-7762
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