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1235623570
CANDIS CLARK
ADA, OK
NPI
1235623570
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
152W00000X Optometrist
(Licence: MO 2018019397)
Enumeration Date
2018-06-20
Last Update Date
2024-02-08
Business Address
CANDIS CLARK OD
1921 STONECIPHER DR
ADA, OK 74820-3439
Phone number: 580-436-3980
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Mailing Address
CANDIS CLARK OD
1921 STONECIPHER DR
ADA, OK 74820-3439
Phone number: 580-436-3980
Copy
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