Individual
DANETTE CLIFTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
5412 NW 111TH ST, OKLAHOMA CITY, OK 73162-3715
(405) 728-0888
Mailing address
5412 NW 111TH ST, OKLAHOMA CITY, OK 73162-3715
(405) 728-0888
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
12/16/2011
Last updated
12/16/2011
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