DONALD EUGENE CLARK

CHARLOTTE, NC
NPI1124282538
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy172V00000X Community Health Worker
Enumeration Date2008-07-15
Last Update Date2008-07-15
Business Address
-- DONALD EUGENE CLARK
5117 TARRYWOOD LN
CHARLOTTE, NC 28205-4827
Phone number: 704-200-1028
Mailing Address
-- DONALD EUGENE CLARK
5117 TARRYWOOD LN
CHARLOTTE, NC 28205-4827
Phone number: 704-200-1028
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