Organization
GREG CLEMENT AGENCY
Active
Organization subpart
No
Provider details
NPI number
Authorized official
GREGORY L CLEMENT (OWNEER/AGENT)
(580) 795-3064
Entity
Organization
Contact information
Practice address
509 N 1ST ST, MADILL, OK 73446-1406
(580) 795-3064
Mailing address
PO BOX 846, MADILL, OK 73446
(580) 795-3064
Taxonomy
Speciality
Code
Description
License number
State
251300000X
Local Education Agency (LEA)
Primary
7598553
OK
Other
Enumeration date
12/09/2013
Last updated
12/09/2013
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