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1023488392
CLANCY DAVIS
ADA, OK
NPI
1023488392
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Enumeration Date
2015-09-30
Last Update Date
2015-09-30
Business Address
-- CLANCY DAVIS
124 SOUTH BROADWAY SUITE 200
ADA, OK 74820-0000
Phone number: 580-332-3001
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Mailing Address
-- CLANCY DAVIS
124 SOUTH BROADWAY SUITE 200
ADA, OK 74820-0000
Phone number: 580-332-3001
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