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1124345798
KELLY LYNN CLARK
OKLAHOMA CITY, OK
NPI
1124345798
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
172V00000X Community Health Worker
Enumeration Date
2010-04-22
Last Update Date
2010-04-22
Business Address
-- KELLY LYNN CLARK BSW
4045 NW 64TH ST SUITE 520
OKLAHOMA CITY, OK 73116-1684
Phone number: 405-842-4911
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Mailing Address
-- KELLY LYNN CLARK BSW
4045 NW 64TH ST SUITE 520
OKLAHOMA CITY, OK 73116-1684
Phone number: 405-842-4911
Copy
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