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Individual

ELLIOTT CLARK DUNN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.S.

Contact information

Practice address
15 E DEWEY AVE, SAPULPA, OK 74066-4201
(918) 227-2016
Mailing address
15 E DEWEY AVE, SAPULPA, OK 74066-4201
(918) 227-2016

Taxonomy

Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
NONE

Other

Enumeration date
04/26/2007
Last updated
07/08/2007
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