NICHOLAS E. CLARK

SOUTH CHARLESTON, WV
NPI1316430564
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: WV  118087)
Enumeration Date2018-06-12
Last Update Date2018-06-12
Business Address
NICHOLAS E. CLARK
4605 MACCORKLE AVE SW
SOUTH CHARLESTON, WV 25309-1311
Phone number: 304-766-3600
Mailing Address
NICHOLAS E. CLARK
110 ROANE ST
CHARLESTON, WV 25302-2334
Phone number: 304-344-0096
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