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1184128605
BRIAN E CLARK
OKLAHOMA CITY, OK
NPI
1184128605
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2018-03-20
Last Update Date
2018-03-20
Business Address
BRIAN E CLARK
4400 N LINCOLN BLVD
OKLAHOMA CITY, OK 73105-5104
Phone number: 405-425-7711
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Mailing Address
BRIAN E CLARK
4400 N LINCOLN BLVD
OKLAHOMA CITY, OK 73105-5104
Phone number:
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