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1821680067
CASSIDY RAE CLARK
WINSTON SALEM, NC
NPI
1821680067
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC 0010-11035)
Enumeration Date
2021-02-09
Last Update Date
2021-08-06
Business Address
CASSIDY RAE CLARK PA-C
MEDICAL CENTER BOULEVARD 7TH FLOOR
WINSTON SALEM, NC 27157-7768
Phone number: 336-716-3182
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Mailing Address
CASSIDY RAE CLARK PA-C
MEDICAL CENTER BOULEVARD 7TH FLOOR
WINSTON SALEM, NC 27157-7768
Phone number: 336-716-3182
Copy
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