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1225588171
VANESSA CLARK
DURHAM, NC
NPI
1225588171
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363AM0700X Physician Assistant Medical
(Licence: NC 0010-06800)
Enumeration Date
2016-10-04
Last Update Date
2016-10-04
Business Address
VANESSA CLARK PA-C, RD
2511 OLD CORNWALLIS RD SUITE 200
DURHAM, NC 27713-1869
Phone number: 919-932-5700
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Mailing Address
VANESSA CLARK PA-C, RD
686 FOX POND DR
MOUNT PLEASANT, SC 29464-4850
Phone number: 843-901-4563
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