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1568984060
LAVON JO CLARK
MIAMI, OK
NPI
1568984060
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
101YM0800X Counselor, Mental Health
Enumeration Date
2017-07-17
Last Update Date
2022-07-21
Business Address
LAVON JO CLARK
111 S TREATY RD
MIAMI, OK 74354-5327
Phone number: 918-540-1511
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Mailing Address
LAVON JO CLARK
111 S TREATY RD
MIAMI, OK 74354-5327
Phone number: 918-540-1511
Copy
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