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1245890672
JOHN DOUGLAS CLARK
BREVARD, NC
NPI
1245890672
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NC 94-01153)
Enumeration Date
2019-06-18
Last Update Date
2019-06-18
Business Address
JOHN DOUGLAS CLARK MD
54 MEADOWBROOK CIR
BREVARD, NC 28712-8543
Phone number: 828-553-7860
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Mailing Address
JOHN DOUGLAS CLARK MD
54 MEADOWBROOK CIR
BREVARD, NC 28712-8543
Phone number: 828-553-7860
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