JUSTIN CLARK

FORT BRAGG, NC
NPI1598205742
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2017-03-06
Last Update Date2017-03-06
Business Address
-- JUSTIN CLARK PA
2817 REILLY ST
FORT BRAGG, NC 28310-7324
Phone number: 910-907-6069
Mailing Address
-- JUSTIN CLARK PA
2817 REILLY ST
FORT BRAGG, NC 28310-7324
Phone number: 910-907-6069
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