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1841449113
SUEANNE CLARK
CHARLOTTE, NC
NPI
1841449113
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363L00000X Nurse Practitioner
(Licence: NC 5004696)
Enumeration Date
2008-09-11
Last Update Date
2019-12-20
Business Address
SUEANNE CLARK NP
6025 BLAKENEY PARK DR STE 100
CHARLOTTE, NC 28277-5703
Phone number: 704-667-4480
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Mailing Address
SUEANNE CLARK NP
PO BOX 19305
CHARLOTTE, NC 28219-9305
Phone number:
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