MICHAEL P CLARK

TAHLEQUAH, OK
NPI1417732397
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy175T00000X Peer Specialist
Enumeration Date2023-08-29
Last Update Date2023-08-29
Business Address
MICHAEL P CLARK
1011 S MUSKOGEE AVE
TAHLEQUAH, OK 74464-4733
Phone number: 918-525-6035
Mailing Address
MICHAEL P CLARK
1011 S MUSKOGEE AVE
TAHLEQUAH, OK 74464-4733
Phone number: 918-525-6035
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