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1740478403
NICKOLAS WILSON CLARK
PEARISBURG, VA
NPI
1740478403
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
152W00000X Optometrist
(Licence: VA 0618002202)
Enumeration Date
2007-10-09
Last Update Date
2018-07-06
Business Address
Mr. NICKOLAS WILSON CLARK OD
122 TAZEWELL ST
PEARISBURG, VA 24134
Phone number: 540-921-3921
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Mailing Address
Mr. NICKOLAS WILSON CLARK OD
122 TAZEWELL ST
PEARISBURG, VA 24134-1632
Phone number: 540-921-3921
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