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1861742462
SOUTHEASTERN SPECIALITY CLINIC
DUNN, NC
NPI
1861742462
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Entity Type
Organization
Authorized Contact
THERESA S CLARKE
CEO
910-292-2066
Organization Subpart ?
No
Primary Taxonomy
363A00000X Physician Assistant
(Licence: NC NC0726414)
Enumeration Date
2012-09-12
Last Update Date
2012-09-12
Business Address
SOUTHEASTERN SPECIALITY CLINIC
520 ERWIN ROAD
DUNN, NC 28334
Phone number: 910-292-2066
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Mailing Address
SOUTHEASTERN SPECIALITY CLINIC
520 ERWIN ROAD
DUNN, NC 28334
Phone number: 910-292-2066
Copy
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