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1396498382
CLAYTON V CLARK
ARDMORE, OK
NPI
1396498382
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
175T00000X Peer Specialist
Additional Taxonomies
106S00000X Behavior Technician
Enumeration Date
2022-01-31
Last Update Date
2022-04-07
Business Address
CLAYTON V CLARK
1219 K ST NW
ARDMORE, OK 73401-1801
Phone number: 580-798-4532
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Mailing Address
CLAYTON V CLARK
1219 K ST NW
ARDMORE, OK 73401-1801
Phone number:
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