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1720664113
MATTHEW ANTOINNE CLEMONS
WAKE FOREST, NC
NPI
1720664113
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
363LP0808X Nurse Practitioner, Psych/Mental Health
(Licence: NC 5014248)
Enumeration Date
2021-03-24
Last Update Date
2024-01-20
Business Address
MATTHEW ANTOINNE CLEMONS NP
833 WAKE FOREST BUSINESS PARK STE F
WAKE FOREST, NC 27587-7184
Phone number: 919-306-6074
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Mailing Address
MATTHEW ANTOINNE CLEMONS NP
1404 THE PINES PL
WAKE FOREST, NC 27587-1742
Phone number: 919-368-8839
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