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1518043439
TALAYA BLAKEY CLARK
CHARLOTTE, NC
NPI
1518043439
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: NC 200401624)
Enumeration Date
2006-10-31
Last Update Date
2024-07-15
Business Address
TALAYA BLAKEY CLARK MD
1801 ROZZELLES FERRY RD
CHARLOTTE, NC 28208-4228
Phone number: 704-446-9987
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Mailing Address
TALAYA BLAKEY CLARK MD
PO BOX 19305
CHARLOTTE, NC 28219-9305
Phone number:
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