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1396464871
AMANDA CLARK
PONCA CITY, OK
NPI
1396464871
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
Enumeration Date
2022-08-26
Last Update Date
2022-08-26
Business Address
AMANDA CLARK
407 W SOUTH AVE
PONCA CITY, OK 74601-6133
Phone number: 580-749-5056
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Mailing Address
AMANDA CLARK
407 W SOUTH AVE
PONCA CITY, OK 74601-6133
Phone number: 580-749-5056
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