ADELE CLARK

WINSTON SALEM, NC
NPI1841228335
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363AM0700X Physician Assistant, Medical
(Licence: NC  100690)
Enumeration Date2006-06-30
Last Update Date2010-10-21
Business Address
-- ADELE CLARK PA
4618 COUNTRY CLUB RD
WINSTON SALEM, NC 27104-3520
Phone number: 336-716-2255
Mailing Address
-- ADELE CLARK PA
PO BOX 344
WINSTON-SALEM, NC 27102-0344
Phone number: 336-716-2255
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