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1497118061
CAITLYN CLARK
PONCA CITY, OK
NPI
1497118061
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
163W00000X Registered Nurse
(Licence: OK R96555)
Enumeration Date
2016-04-01
Last Update Date
2016-04-01
Business Address
-- CAITLYN CLARK
114 FAIRVIEW AVE
PONCA CITY, OK 74601-2923
Phone number: 580-401-0385
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Mailing Address
-- CAITLYN CLARK
114 FAIRVIEW AVE
PONCA CITY, OK 74601-2923
Phone number:
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