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1699894345
BRENDA CLARK
WILMINGTON, NC
NPI
1699894345
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: NC 4066)
Enumeration Date
2007-03-27
Last Update Date
2007-07-08
Business Address
-- BRENDA CLARK
1011 PORTERS NECK RD
WILMINGTON, NC 28411-9196
Phone number: 910-686-7195
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Mailing Address
-- BRENDA CLARK
204 WHISPERING PINES CT
HAMPSTEAD, NC 28443-3429
Phone number: 910-270-8549
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