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1104485747
CLAYTON LUCAS
HARRAH, OK
NPI
1104485747
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
171W00000X Contractor
Enumeration Date
2019-06-07
Last Update Date
2019-06-07
Business Address
Mr. CLAYTON LUCAS MPA
224 SPRINGTREE DR
HARRAH, OK 73045-4517
Phone number: 918-315-1001
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Mailing Address
Mr. CLAYTON LUCAS MPA
224 SPRINGTREE DR
HARRAH, OK 73045-4517
Phone number: 918-315-1001
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