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1346581386
WALLACE CLAY
TULSA, OK
NPI
1346581386
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
101Y00000X Counselor
Enumeration Date
2013-03-14
Last Update Date
2013-03-14
Business Address
-- WALLACE CLAY
11428 E 20TH ST UNIT A
TULSA, OK 74128-6451
Phone number: 918-878-7877
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Mailing Address
-- WALLACE CLAY
11428 E 20TH ST UNIT A
TULSA, OK 74128-6451
Phone number: 918-878-7877
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