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1184963480
TARA JORDAN CLANTON
TULSA, OK
NPI
1184963480
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2013-02-06
Last Update Date
2013-02-06
Business Address
-- TARA JORDAN CLANTON
1870 S BOULDER AVE
TULSA, OK 74119-5234
Phone number: 918-585-1213
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Mailing Address
-- TARA JORDAN CLANTON
1870 S BOULDER AVE
TULSA, OK 74119-5234
Phone number: 918-585-1213
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