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1285704544
AMY WILSON CLARK
CHARLOTTE, NC
NPI
1285704544
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NC 950019)
Enumeration Date
2006-11-08
Last Update Date
2009-01-27
Business Address
-- AMY WILSON CLARK NP
1718 E 4TH ST SUITE 601
CHARLOTTE, NC 28204-3261
Phone number: 704-384-1246
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Mailing Address
-- AMY WILSON CLARK NP
PO BOX 60447
CHARLOTTE, NC 28260-0447
Phone number: 704-384-7840
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