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1164760476
CRYSTAL MARIE CLARK
GARNER, NC
NPI
1164760476
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 0010-04032)
Enumeration Date
2013-01-21
Last Update Date
2022-01-31
Business Address
-- CRYSTAL MARIE CLARK PA-C
5156 NC HIGHWAY 42 W
GARNER, NC 27529-8417
Phone number: 919-329-5000
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Mailing Address
-- CRYSTAL MARIE CLARK PA-C
935 SHOTWELL RD SUITE 108
CLAYTON, NC 27520-5597
Phone number: 919-550-0821
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