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1053172205
KORTNEY WILSON CLARK
ALBEMARLE, NC
NPI
1053172205
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner Family
(Licence: NC 5019439)
Enumeration Date
2024-01-16
Last Update Date
2024-02-13
Business Address
KORTNEY WILSON CLARK FNP
960 N 1ST ST
ALBEMARLE, NC 28001-3350
Phone number: 704-983-4216
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Mailing Address
KORTNEY WILSON CLARK FNP
960 N 1ST ST
ALBEMARLE, NC 28001-3350
Phone number: 704-983-4216
Copy
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