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Individual

DR. CLARK APACIBLE DRIZ

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
D.P.T

Contact information

Practice address
7135 S BRADEN AVE, TULSA, OK 74136-6302
(918) 384-0088
(918) 384-0044
Mailing address
7511 S 96TH EAST AVE, TULSA, OK 74133-5225
(918) 254-7956
(918) 384-0044

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1943
OK

Other

Enumeration date
03/05/2007
Last updated
07/08/2007
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