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1659836054
ANTOINETTE YVETTE CLARK
MIDWEST CITY, OK
NPI
1659836054
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
106S00000X Behavior Technician
Enumeration Date
2019-02-10
Last Update Date
2019-02-10
Business Address
ANTOINETTE YVETTE CLARK
227 W ERCOUPE DR
MIDWEST CITY, OK 73110-5515
Phone number: 228-546-1645
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Mailing Address
ANTOINETTE YVETTE CLARK
227 W ERCOUPE DR
MIDWEST CITY, OK 73110-5515
Phone number: 228-546-1645
Copy
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