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1649347097
RANDOLPH LYNN CLARK
EDMOND, OK
NPI
1649347097
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
1223G0001X Dentist, General Practice
(Licence: OK OK4992)
Enumeration Date
2006-11-29
Last Update Date
2008-12-26
Business Address
Dr. RANDOLPH LYNN CLARK DDS
301 S BOULEVARD ST SUITE 118
EDMOND, OK 73034-3878
Phone number: 405-348-9182
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Mailing Address
Dr. RANDOLPH LYNN CLARK DDS
301 S BOULEVARD ST SUITE 118
EDMOND, OK 73034-3878
Phone number: 405-348-9182
Copy
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