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1316579022
CLARK EDWARD BROWN
WALTERS, OK
NPI
1316579022
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
2083P0901X Preventive Medicine, Public Health & General Preventive Medicine
(Licence: OK GAAA-NJRV-HY5Z)
Enumeration Date
2020-02-11
Last Update Date
2020-02-11
Business Address
Mr. CLARK EDWARD BROWN
181309 N 2650 RD
WALTERS, OK 73572-3913
Phone number: 580-351-8315
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Mailing Address
Mr. CLARK EDWARD BROWN
181309 N 2650 RD
WALTERS, OK 73572-3913
Phone number: 580-351-8315
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