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1053551150
GINGER CLARK
CHANDLER, OK
NPI
1053551150
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YA0400X Counselor, Addiction (Substance Use Disorder)
Enumeration Date
2009-03-02
Last Update Date
2009-03-02
Business Address
-- GINGER CLARK
710 MANVEL AVE
CHANDLER, OK 74834-2843
Phone number: 405-240-5333
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Mailing Address
-- GINGER CLARK
1010 E 45TH ST
SHAWNEE, OK 74804-2202
Phone number:
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