LANCE CLARK

GROVE, OK
NPI1568846954
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: OK  3064)
Enumeration Date2015-07-15
Last Update Date2015-07-15
Business Address
-- LANCE CLARK PT
4621 US HIGHWAY 59
GROVE, OK 74344-4237
Phone number: 918-786-3797
Mailing Address
-- LANCE CLARK PT
4621 US HIGHWAY 59
GROVE, OK 74344-4237
Phone number: 918-786-3797
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