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1053373399
KEVIN R CLARK
HICKORY, NC
NPI
1053373399
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207P00000X Emergency Medicine
(Licence: NC 200300020)
Enumeration Date
2006-04-03
Last Update Date
2009-03-17
Business Address
-- KEVIN R CLARK DO
420 N CENTER ST
HICKORY, NC 28601-5046
Phone number: 843-237-3378
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Mailing Address
-- KEVIN R CLARK DO
PO BOX 60359
CHARLOTTE, NC 28260-0359
Phone number: 843-237-3378
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