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1831186063
LAMAR WAYNE CLARK
FAYETTEVILLE, NC
NPI
1831186063
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: NC 176844)
Enumeration Date
2005-10-03
Last Update Date
2012-03-20
Business Address
Mr. LAMAR WAYNE CLARK CRNA
1638 OWEN DR
FAYETTEVILLE, NC 28304-3424
Phone number: 910-615-5132
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Mailing Address
Mr. LAMAR WAYNE CLARK CRNA
PO BOX 40908
FAYETTEVILLE, NC 28309-0908
Phone number: 910-615-6448
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