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1134594674
MELODY DIANE CLANTON
OKLAHOMA CITY, OK
NPI
1134594674
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Former Name
MELODY DIANE LOUCKS
Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
363LF0000X Nurse Practitioner, Family
(Licence: OK 96048)
Enumeration Date
2015-12-09
Last Update Date
2015-12-09
Business Address
-- MELODY DIANE CLANTON APRN
4913 W RENO AVE
OKLAHOMA CITY, OK 73127-6339
Phone number: 405-948-4900
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Mailing Address
-- MELODY DIANE CLANTON APRN
4913 W RENO AVE
OKLAHOMA CITY, OK 73127-6339
Phone number: 405-948-4900
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