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1417903287
KENNETH BRYAN CLARK
SALISBURY, NC
NPI
1417903287
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 103056)
Enumeration Date
2006-05-25
Last Update Date
2023-09-11
Business Address
KENNETH BRYAN CLARK PA
810 MITCHELL AVE
SALISBURY, NC 28144-6253
Phone number: 704-603-1403
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Mailing Address
KENNETH BRYAN CLARK PA
PO BOX 602362
CHARLOTTE, NC 28260-2362
Phone number: 704-216-5633
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