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1376765925
ROBERT CLARK
WINSTON SALEM, NC
NPI
1376765925
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NC 5006585)
Enumeration Date
2007-05-03
Last Update Date
2013-12-05
Business Address
Mr. ROBERT CLARK N.P.
EMPLOYEE AND OCCUPATIONAL HEALTH MEDICAL CENTER BOULEVARD
WINSTON SALEM, NC 27157-0001
Phone number: 734-474-6325
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Mailing Address
Mr. ROBERT CLARK N.P.
4105 BIRCH CREEK TRL
WINSTON SALEM, NC 27106-6510
Phone number: 734-474-6325
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