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1912322694
CHRISTOPHER W CLARK
CAMP LEJUENE, NC
NPI
1912322694
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171000000X Military Health Care Provider
(Licence: NC 2062)
Enumeration Date
2014-03-04
Last Update Date
2014-03-04
Business Address
MR. CHRISTOPHER W CLARK L.A.T., A.T.C.
G544 C STREET
CAMP LEJUENE, NC 28542
Phone number: 910-449-0494
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Mailing Address
MR. CHRISTOPHER W CLARK L.A.T., A.T.C.
SOI-E P.O. BOX 20161
CAMP LEJUENE, NC 28542
Phone number: 910-449-0494
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