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1154677011
LESLIE CLARK
WILMINGTON, NC
NPI
1154677011
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: NC 8282)
Enumeration Date
2012-07-30
Last Update Date
2012-07-30
Business Address
-- LESLIE CLARK PT
2744 S 17TH ST
WILMINGTON, NC 28412-6606
Phone number: 910-338-0435
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Mailing Address
-- LESLIE CLARK PT
7235 MASONBORO SOUND RD
WILMINGTON, NC 28409-2949
Phone number: 910-612-3065
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