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1316687536
SHANE CLARK
DURHAM, NC
NPI
1316687536
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2022-03-29
Last Update Date
2022-03-29
Business Address
Dr. SHANE CLARK MD
2301 ERWIN RD
DURHAM, NC 27705-4699
Phone number: 919-684-8111
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Mailing Address
Dr. SHANE CLARK MD
2301 ERWIN ROAD
DURHAM, NC 27710-8665
Phone number: 904-214-4768
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