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1558720284
ANGELA CLARK
FORT GIBSON, OK
NPI
1558720284
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2016-02-23
Last Update Date
2016-02-23
Business Address
-- ANGELA CLARK
1401 IRENE LN
FORT GIBSON, OK 74434-8339
Phone number: 539-832-5597
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Mailing Address
-- ANGELA CLARK
1401 IRENE LN
FORT GIBSON, OK 74434-8339
Phone number: 539-832-5597
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