JULIANNE ALYSSA CLARK

SHAWNEE, OK
NPI1417253170
Former NameJULIANNE ALYSSA CARTER
Entity TypeIndividual
GenderFemale
Sole Proprietor ?No
Primary Taxonomy363LP0200X Nurse Practitioner, Pediatrics
(Licence: OK  61442)
Enumeration Date2011-01-28
Last Update Date2012-08-29
Business Address
-- JULIANNE ALYSSA CLARK ARNP
3315 KETHLEY RD
SHAWNEE, OK 74804-9638
Phone number: 405-273-5801
Mailing Address
-- JULIANNE ALYSSA CLARK ARNP
PO BOX 849
SHAWNEE, OK 74802-0849
Phone number: 405-273-5801
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