Marlo Clark
Marlo Clark is a Driver in Durham, North Carolina. Practices as a sole proprietor. Registered with an NPI since 2024.
- In the registry since
- 2024
- Specialties on file
- 2
Practice location Address checks out
711 Linwood AveDurham, NC 27701-4429
Phone: (919) 225-1460
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Specialties & licences
| Driver (primary) | Taxonomy 172A00000X |
|---|---|
| Counselor | Taxonomy 101Y00000X |
Record details
| NPI number | 1699517243 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | June 12, 2024 |
| Last updated in NPPES | June 13, 2024 |
| Certification date | June 13, 2024 |
| Mailing address | 711 Linwood Ave, Durham, NC 27701-4429 |
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