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Individual

CHRISTIN REBECCA CLARK

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
428 E TECUMSEH ST, TULSA, OK 74106-4246
(918) 585-9974
Mailing address
428 E TECUMSEH ST, TULSA, OK 74106-4246
(918) 585-9974

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary

Other

Enumeration date
01/27/2011
Last updated
01/27/2011
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