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1609629518
SAMUEL CLARK LIGHT
RALEIGH, NC
NPI
1609629518
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2024-04-09
Last Update Date
2024-07-03
Business Address
SAMUEL CLARK LIGHT DO
3000 NEW BERN AVE
RALEIGH, NC 27610-1295
Phone number: 919-350-8000
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Mailing Address
SAMUEL CLARK LIGHT DO
3000 NEW BERN AVE
RALEIGH, NC 27610-1295
Phone number: 919-350-8000
Copy
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