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1053048710
MARTHA MALLARY CLAY
KERNERSVILLE, NC
NPI
1053048710
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 001012577)
Enumeration Date
2022-08-03
Last Update Date
2023-08-26
Business Address
MARTHA MALLARY CLAY PA
240 BROAD ST
KERNERSVILLE, NC 27284-2930
Phone number: 336-993-8333
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Mailing Address
MARTHA MALLARY CLAY PA
PO BOX 60447
CHARLOTTE, NC 28260-0447
Phone number:
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