DELORES L CLARK

CHARLOTTE, NC
NPI1932157039
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy367500000X Nurse Anesthetist, Certified Registered
(Licence: NC  044078)
Enumeration Date2006-05-04
Last Update Date2010-12-13
Business Address
-- DELORES L CLARK CRNA
200 HAWTHORNE LANE
CHARLOTTE, NC 28204
Phone number: 704-384-4239
Mailing Address
-- DELORES L CLARK CRNA
PO BOX 601549
CHARLOTTE, NC 28260-1549
Phone number:
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