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1629614276
TRYESHA SHIRAY CLARK
LAWTON, OK
NPI
1629614276
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
171M00000X Case Manager/Care Coordinator
(Licence: TN 127208565)
Enumeration Date
2019-11-19
Last Update Date
2019-11-19
Business Address
TRYESHA SHIRAY CLARK
602 SW A AVE
LAWTON, OK 73501-3930
Phone number: 405-317-5987
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Mailing Address
TRYESHA SHIRAY CLARK
602 SW A AVE
LAWTON, OK 73501-3930
Phone number:
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