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1497510192
GRACE CLARK
TULSA, OK
NPI
1497510192
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101Y00000X Counselor
Additional Taxonomies
171M00000X Case Manager/Care Coordinator
Enumeration Date
2024-02-21
Last Update Date
2024-10-14
Business Address
GRACE CLARK
5330 E 31ST ST
TULSA, OK 74135-5076
Phone number: 918-712-8062
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Mailing Address
GRACE CLARK
5330 E 31ST ST
TULSA, OK 74135-5076
Phone number:
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