Individual
JAMES CLARE II
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
420 W BROADWAY ST, MUSKOGEE, OK 74401-6613
(918) 681-4201
Mailing address
205 PHOENIX VILLAGE RD, MUSKOGEE, OK 74403-6206
(918) 315-4744
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
OK
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200314030B
—
OK
Enumeration date
12/08/2014
Last updated
12/08/2014
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