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1720058282
DEBRA CLARK
WINSTON SALEM, NC
NPI
1720058282
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 103316)
Enumeration Date
2006-01-25
Last Update Date
2016-04-08
Business Address
-- DEBRA CLARK PA-C
250 CHARLOIS BLVD
WINSTON SALEM, NC 27103-1508
Phone number: 336-718-1000
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Mailing Address
-- DEBRA CLARK PA-C
MEDICAL CENTER BLVD
WINSTON SALEM, NC 27157-0001
Phone number:
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