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1053395566
CHARLES RANDALL CLINCH
WINSTON SALEM, NC
NPI
1053395566
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NC 200000381)
Enumeration Date
2005-11-30
Last Update Date
2014-03-25
Business Address
-- CHARLES RANDALL CLINCH DO
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157-0001
Phone number: 336-716-2255
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Mailing Address
-- CHARLES RANDALL CLINCH DO
PO BOX 344
WINSTON SALEM, NC 27102-0344
Phone number: 336-716-2255
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