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1043213457
WANDA KAYE CLARK
ROCK HILL, SC
NPI
1043213457
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Professional Name
WANDA KAYE CLARK
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: SC 1484)
Enumeration Date
2005-05-31
Last Update Date
2007-07-09
Business Address
Ms. WANDA KAYE CLARK FNP
1151 CAMDEN AVE
ROCK HILL, SC 29732-3014
Phone number: 803-909-6363
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Mailing Address
Ms. WANDA KAYE CLARK FNP
1151 CAMDEN AVE
ROCK HILL, SC 29732-3014
Phone number: 803-909-6363
Copy
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