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1619026119
ALAN R CLARK
GREENSBORO, NC
NPI
1619026119
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 103660)
Enumeration Date
2007-01-10
Last Update Date
2012-03-15
Business Address
Mr. ALAN R CLARK PA-C
4601 W MARKET ST
GREENSBORO, NC 27408
Phone number: 336-547-9091
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Mailing Address
Mr. ALAN R CLARK PA-C
4149 CORBIN RD
GREENSBORO, NC 27405-2918
Phone number: 336-402-6301
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