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1548302292
CLARICE ROTH
WINSTON-SALEM, NC
NPI
1548302292
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NC 21960)
Enumeration Date
2007-02-12
Last Update Date
2023-03-07
Business Address
-- CLARICE ROTH ANP-C
LOWER LEVEL REYNOLDS GYM-WINGATE ROAD WINGATE ROAD
WINSTON-SALEM, NC 27109
Phone number: 336-758-5218
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Mailing Address
-- CLARICE ROTH ANP-C
PO BOX 398
GERMANTON, NC 27019-0398
Phone number: 336-591-7351
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