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1518331115
JIMMY CLOCK
ELK CITY, OK
NPI
1518331115
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2015-11-19
Last Update Date
2015-11-19
Business Address
-- JIMMY CLOCK
3080 W 3RD ST
ELK CITY, OK 73644-4323
Phone number: 580-303-9502
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Mailing Address
-- JIMMY CLOCK
3080 W 3RD ST
ELK CITY, OK 73644-4323
Phone number: 580-303-9502
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