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1023870896
BRAYLYNN DIANE CLARK
GLEN DALE, WV
NPI
1023870896
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: WV 1113368)
Enumeration Date
2024-01-26
Last Update Date
2024-01-26
Business Address
BRAYLYNN DIANE CLARK APRN
800 WHEELING AVE
GLEN DALE, WV 26038-1660
Phone number: 304-845-3211
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Mailing Address
BRAYLYNN DIANE CLARK APRN
510 FREDERICK ST
FOLLANSBEE, WV 26037-1716
Phone number: 740-424-1625
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