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1639458029
KEITH EDWARD CLAYTON
MUSKOGEE, OK
NPI
1639458029
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2011-08-16
Last Update Date
2011-08-16
Business Address
-- KEITH EDWARD CLAYTON
1011 HONOR HEIGHTS DR
MUSKOGEE, OK 74401-1318
Phone number: 918-577-3196
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Mailing Address
-- KEITH EDWARD CLAYTON
102 YORK VILLAGE DR APT 1
MUSKOGEE, OK 74403-4843
Phone number: 918-616-4626
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