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1215298567
CLARK W GRILLIOT
MCALESTER, OK
NPI
1215298567
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist General Practice
(Licence: OK 6390)
Enumeration Date
2012-06-04
Last Update Date
2012-06-04
Business Address
DR. CLARK W GRILLIOT DDS
215 N 6TH ST
MCALESTER, OK 74501-4737
Phone number: 918-423-0200
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Mailing Address
DR. CLARK W GRILLIOT DDS
215 N 6TH ST
MCALESTER, OK 74501-4737
Phone number: 918-423-0200
Copy
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