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1427421668
TANNER CLARK
SHAWNEE, OK
NPI
1427421668
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
106H00000X Marriage & Family Therapist
Enumeration Date
2015-11-10
Last Update Date
2015-11-10
Business Address
Mr. TANNER CLARK M.S.
326 W 11TH ST
SHAWNEE, OK 74801-6710
Phone number: 580-262-0250
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Mailing Address
Mr. TANNER CLARK M.S.
1806 N NAIL PKWY
MOORE, OK 73160-4636
Phone number: 580-262-0250
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