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1992766703
ROBERT CHARLES CLARK
DOTHAN, AL
NPI
1992766703
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: AL 1044483)
Enumeration Date
2006-03-31
Last Update Date
2011-07-25
Business Address
-- ROBERT CHARLES CLARK CRNA
4370 W MAIN ST
DOTHAN, AL 36305
Phone number: 334-793-5000
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Mailing Address
-- ROBERT CHARLES CLARK CRNA
PO BOX 6907
DOTHAN, AL 36302
Phone number: 334-793-5000
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