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1093470957
CHRISTINA JANE CLARK
BROKEN ARROW, OK
NPI
1093470957
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
207Q00000X Family Medicine
(Licence: FL PA9114888)
Enumeration Date
2021-11-05
Last Update Date
2022-11-25
Business Address
CHRISTINA JANE CLARK PA
705 W OAKLAND ST
BROKEN ARROW, OK 74012-1656
Phone number: 918-251-2666
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Mailing Address
CHRISTINA JANE CLARK PA
705 W OAKLAND ST
BROKEN ARROW, OK 74012-1656
Phone number: 918-251-2666
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