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1841228335
ADELE CLARK
WINSTON SALEM, NC
NPI
1841228335
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363AM0700X Physician Assistant, Medical
(Licence: NC 100690)
Enumeration Date
2006-06-30
Last Update Date
2010-10-21
Business Address
-- ADELE CLARK PA
4618 COUNTRY CLUB RD
WINSTON SALEM, NC 27104-3520
Phone number: 336-716-2255
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Mailing Address
-- ADELE CLARK PA
PO BOX 344
WINSTON-SALEM, NC 27102-0344
Phone number: 336-716-2255
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